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小儿急性肠套叠约5%需手术治疗,其中少数病例由于术后并发症需再手术,本文结合我院1980~1994年收治的125例需手术治疗的肠套叠病例,对其中需再手术的14例进行了总结。1980~1994年收治小儿急性肠套叠再手术14例,男8例,女6例,平均年龄11个月,首次手术均采用手法复位,再次手术原因为肠瘘及伤口裂开,其中肠瘘9例,伤口裂开5例,13例痊愈,1例死亡。认为横切口的伤口裂开发生率明显低于直切口,手术时选择横切口,并以尼龙线行减张缝合对预防伤口裂开有重要意义。术中应尽量避免损伤肠浆肌层,对已撕裂的肠管浆肌层,均应及时修补,如多处严重撕裂,则应行肠切除较为安全．经处理后对肠活力仍有怀疑的病例,应按肠坏死行相应的肠切除、肠造瘘或局限性内翻缝合。
About 5% of children with acute intussusception need surgery, in which a small number of cases due to postoperative complications need reoperation, this article combined with our hospital from 1980 to 1994 admitted to 125 cases of intussusception need surgery, in which the need for reoperation 14 cases were summarized. Between 1980 and 1994, 14 children underwent acute intussusception reoperation, including 8 males and 6 females, with an average age of 11 months. The first operation was performed by manual reduction. The reason of reoperation was intestinal fistula and wound dehiscence, 9 cases, 5 cases of wound dehiscence, 13 cases recovered, 1 case died. It is considered that the incidence of transverse wound incision is obviously lower than that of straight incision, the transverse incision is selected during operation and the suture with nylon line is of great significance in preventing wound dehiscence. Surgery should try to avoid damage to the intestinal muscle layer, has been torn intestinal muscle layer, should be promptly repaired, such as multiple severe tear, the line should be safe for intestinal resection. After treatment of intestinal activity is still suspected cases of intestinal necrosis should be the corresponding line of intestinal resection, enterostomy or limited varus suture.