소아 장중첩증의 수술적 치료: 20년 간의 변화

Surgical Treatment of Intussusception: the 1970s vs. the 1990s

  • 오정탁 (연세대학교 의과대학 외과학교실, 소아외과) ;
  • 박준성 (연세대학교 의과대학 외과학교실, 소아외과) ;
  • 최승훈 (연세대학교 의과대학 외과학교실, 소아외과) ;
  • 황의호 (연세대학교 의과대학 외과학교실, 소아외과)
  • Oh, Jung-Tak (Department of Surgery, Yonsei University College of Medicine) ;
  • Park, Jun-Seong (Department of Surgery, Yonsei University College of Medicine) ;
  • Choi, Seung-Hoon (Department of Surgery, Yonsei University College of Medicine) ;
  • Hwang, Eui-Ho (Department of Surgery, Yonsei University College of Medicine)
  • 발행 : 1999.12.30

초록

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.

키워드