소아 장중첩증의 수술적 치료 : 20년 간의 변화

Abstract

The surgical treatment of intussusception during two periods, 1975-1978 and 1995-1998 (Group B) were compared. There were 48 patients in Group A and 75 cases in Group B. Male were predominant in both group (2.7:1 vs 1.6:1). The mean age at operation was $6.7{\pm}5.0$ months (Group A) and $8.1{\pm}7.0$ months (Group B). The major signs and symptoms in both Groups included vomiting, hematochezia and irritability. There was a significantly higher bowel resection rate for group B (31.3 % vs 14.7 %, p=0.041). There were two operative deaths in group B but no deaths in group A. Hospitalization was significantly shorter in group B($7.5{\pm}2.7$ days vs $5.4{\pm}2.1$ days, p<0.001). We conclude that there were no differences in patient characteristics but surgical treatment in the 1990s results in more rapid recovery and reduced hospital stay.