目的：通过分析珠海市10年间儿童急性肠套叠病例，探讨儿童急性肠套叠的流行病学特点及一般规律，为预防、诊断和治疗提供理论依据。方法对20042013年本院收治的儿童肠套叠病例进行回顾性研究，并结合珠海地区的气候、卫生条件等对患儿的临床资料、治疗方法、治疗效果、复发特点进行分析。结果10年间本院共收治儿童肠套叠患儿1045例，其中男性706例，女性339例，男∶女＝2．08∶1。出生后4～12个月为发病高峰年龄。全部病例均予空气灌肠治疗，获成功829例，需手术治疗216例，空气灌肠成功率79．33％。复发133例。术中发现继发性肠套叠23例。年龄2岁以上的15例。结论珠海地区儿童肠套叠好发于秋冬季，2岁以内儿童高发。多为原发性，2岁以上患儿需警惕继发性的可能。6个月内是肠套叠空气灌肠复位成功后复发的高发期。彩超是重要的诊断手段，空气灌肠是较有效的治疗方法，也是复发性肠套叠首选的治疗手段。%519000,China Objetive To analyze the epidemiological characteristics and general rules for acute intussus-ception for 10 years so as to provide theoretical rationales for its prevention,diagnosis and treatment.Methods Retrospective reviews were conducted for children of acute intussusception diagnosed during the period of 2004-2013.Their local climates,health conditions,treatment methods,therapeutic outcomes and recurrence characteristics were analyzed. Results A total of 1 045 children of acute intussusception in 10 years were treated.There were 706 boys and 339 girls with a ratio of boy-to-girl at 2.08 ∶1.The peak period occurred dur-ing December to April.All cases were treated by air enema with a success rate of 79.33% (829 /1045).And operation was required for 216 cases.Recurrence occurred in 133 cases and 66 (49.62%)within 3 days.And air enema was performed with a success rate of 90.22%for secondary intussusception (n =23).And 15 cases were aged above 2 years. Conclusions Pediatric intussusception of Zhuhai area has a peak occurrence in au-tumn and winter,especially among 2-year-old children.Most cases have primary intussusception.Children aged over 2 years should raise a high possibility of secondary intussusception.Recurrence is common within 6 months after a successful reduction of air enema.Ultrasound is an important diagnostic modality.Air enema is the most effective for pediatric recurrent intussusception.
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