6. 치료는 비수술요법이 30예(37.5퍼센트), 수술요법이 50예(62.5퍼센트)였었다. 비수술요법중 고압바리움정복술이 성공한 예는 24예(30.0퍼센트), 시술중 사망한 1예와 기타가 5예(6.2퍼센트) 있었고, 수술요법중 수술도수정복술이 36예(45.0퍼센트), 장부분절제
술이 14예(17.5퍼센트)였으며, 수술후 사망한 예는 5예로서 수술요법을 받은 예에서 사망이 많았다. 사망 6예(76.5퍼센트)중 복막염 및 패혈증이 3예로 사망원인중 가장 많았다. 합병증 13예(16.3퍼센트)중 수술요법을 받은 예가 12예로서 장유착에 의한 장폐쇄, 창상감염, 장천공 및 재발등이 있었으나 비수술요법을 받은 예에서는 1예의 장천공이 합병되었고 1972년을 전후하여 비수술요법(고압바리움관장정복술)의 이용도가 증가하고 있으며,
환아의 상태에 따라서 일차적으로 고압바리움관장정복술의 시도가 바람직하다.
[영문]
Intussusception is one of the most common abdominal emergercies in infancy and childhood. In most instances, intussusception develops idiopathic form. Only in minor instances, the causes are found. In the method of treatment, some insist the primary operative measure, some the primary barium reduction.
This is a clinical study of 80 cases who were admitted to Wonju Union Hospital, affiliated to College of Medicine of Yonsei University, from January, 1961 to December, 1975.
The results were summerized as followings:
1) In age incidence, 81.2% of the patients were under 1 year of age. The peak incidence occurred form 6 month to 9 month of age.
2) Males were predominant as male to female ratio, 2.1:1.
3) 64.9% of cases occurred in spring and autumn.
4) The clinical symptoms and signs at admission were vomiting(88.8%), bloody stool(83.8%), and abdominal mass (72.5%). The fully developed triad of cardinal symptoms (vomiting, bloody stool, and intermittent abdominal pain) were 30.0%.
5) Leukocytosis (over 10,001/mm**3) was found in 81.2% of cases and the all 6 fatal cases revealed leukocytosis in peripheral blood at admission.
6) In anatomical analysis of intussusception, ileocolic type was most common(35.0%).
7) The cause of intussusception was found only in 8.8%.
8) IN 37.5% of cases, barium reduction was performed in success. The non-operative measure to operative measure ratio was 1:1.1 from 1972. Non-operative measure has been adopted more frequently in these days than in the past.
9) Complication rate was 16.3%, and mortality was 7.5%.