摘要
经手术及病理证实小儿美克尔憩室７２例。出血、穿孔、腹膜炎、肠梗阻是美克尔憩室的常见并发症。憩室内迷走组织和憩室的形态特点是美克尔憩室的主要发病机制。强调应用９９ｍｍＴｃＯ－４同位素检查对本病的诊断价值；及时手术，采用包括憩室在内的肠段切除。
Seventy two cases of Meckel's diverticulum were treated surgically in recent four years. There were 61 boys and 11 girls with a mean age of 5.2 years. Of the 65 symptomatic patients, 31(43%) had rectal bleeding, 16(23%) suffered from bowel obstruction and 17(24%) peritonitis. Patients with diverticulitis(8 cases) had acute abdominal pain in the periumbilical region or in the right lower quadrant compatible with appendicitis. Ectopic mucosa was found in 47 cases(65.3%). Gastric(36 cases) and pancreatic(11 cases) were the most common ectopic tissues. A nuclear medicine Meckel scan was positive in 26 of 31 patients(84%). It is emphasized that 99mm TcO - 4 scintiphoto is more specific in diagnosis of the Meckel's diverticulum. The best choice of the surgery is resection of the diverticulum and end to end intestinal anastomosis.
出处
《湖南医科大学学报》
CSCD
1998年第6期561-562,565,共3页
Bulletin of Hunan Medical University
关键词
美克尔憩室
小肠
儿童
并发症
Meckel's diverticulum
small intestine
child
