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作者报道了近30年来所遇到的25例成人肠套迭,占同期病例的16.6％(25/150)。男13例,女12例,18—29岁、平均52岁。23例有明确病因(92％):1.肿瘤13例(52％),其中恶性肿瘤8例(61.5％),累及小肠6例(回肠淋巴瘤3例、转移性黑色素瘤2例、转移癌1例),结肠2例(原发腺癌、原发网织细胞肉瘤各1例);良性肿瘤5例(38.5),累及小肠3例、结肠2例(空肠平滑肌瘤、神经纤维瘤,回肠、结肠脂肪瘤,结肠感染性纤维血管息肉各1例)。作者指出,以往报道成人结肠型肠套迭多见于结肠原发肿瘤,小肠型多见于良性肿瘤,而本组病例有6例为小肠恶性
The authors reported 25 cases of adult intussusception encountered in the past 30 years, accounting for 16.6% (25/150) of cases in the same period. There were 13 males and 12 females, 18-29 years old and an average of 52 years old. 23 patients had a clear cause (92%): 1. Tumors in 13 cases (52%), of which 8 cases of malignant tumors (61.5%), involving the small intestine in 6 cases (3 cases of ileal lymphoma, 2 cases of metastatic melanoma, metastatic carcinoma 1 case), 2 cases of colon (primary adenocarcinoma, 1 case of primary reticulocyte sarcoma), 5 cases of benign tumors (38.5), 3 cases of small bowel involvement, 2 cases of colon (jejunal leiomyoma, neurofibroma, Ileal and colonic lipomas, 1 case of colonic fibrovascular polyps. The authors pointed out that it has been reported previously that colonic intussusception in adults is more common in primary colon tumors, and small intestine types are more common in benign tumors. Six patients in this group have malignant small intestine.