探讨成人肠套叠的病因、诊断及治疗方法。

对湖南中医药大学第一附属医院43例成人肠套叠的临床表现、类型、诊断及治疗方法行回顾性分析。

阵发性腹痛为主要症状，其次为恶心呕吐、腹胀、肛门停止排便排气、腹部包块、便血/果酱样便等。辅助检查腹部CT确诊39例，成人肠套叠2例保守治疗成功复位，1例放弃治疗出院，40例行手术治疗。小肠套叠28例，其中良性病变18例，依次为小肠腺瘤、脂肪瘤、粘连、异物等；恶性病变10例，分别为间质瘤、非霍奇金淋巴瘤、腺癌和肉瘤。回盲部及结肠套叠83%为恶性肿瘤，均为腺癌。42例患者均康复出院。

成人肠套叠多由器质性病变引起，诊断主要依据临床表现和辅助检查，治疗以手术为主。

To explore the cause, diagnosis and treatment of intussusception in adults.

The clinical manifestations, types, diagnosis and treatment of 43 cases of adult intussusception in the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine were analyzed retrospectively.

Paroxysmal abdominal pain was the main symptom, followed by nausea and vomiting, abdominal distension, anorectal stopping defecation and exhaust, abdominal mass, hemafecia/jam-like stool, etc. Assisted abdominal CT examination confirmed 39 cases, two cases of adult intussusception were successfully restored by conservative treatment, one case was abandoned treatment, and 40 cases were treated by surgery. There were 28 cases of intussusception of small intestine, including 18 cases of benign lesions, successively including small intestinal adenoma, lipoma, adhesion, foreign body, etc. The 10 cases of malignant lesions were stromal tumor, non-hodgkin lymphoma, adenocarcinoma and sarcoma. Ileocecal and colonic intussusception were malignancies, both adenocarcinomas. All the 42 patients recovered and were discharged.

Intussusception in adults is mostly caused by organic lesions, and its diagnosis is mainly based on clinical manifestations and auxiliary examination. The main treatment is surgery.