68例空肠憩室患者的病例分析

Analysis of the Clinical Data of 68 Patients with Jejunal Diverticula

目的分析空肠憩室的临床表现、诊断与治疗。方法回顾性分析1989年至2010山东省单县东大医院普外科收治的68例空肠憩室患者的临床资料。结果本组68例患者,其中有上腹部间歇性阵发性疼痛、不完全性梗阻症状,上腹部有压痛,行消化道钡餐检查而确诊手术18例,有13例突发性上腹部疼痛,而形成弥漫性腹膜炎,术前诊断为上消化道穿孔而行手术,有12例因粘连性肠梗阻手术发现有空肠憩室,因消化道出血剖腹探查术发现粉肠憩室8例,其余7例因其他疾病而手术发现。结论空肠憩室多发生老年人,以50～80岁为多,男性多见;空肠憩室本身很少引起症状,多被其并发症所掩盖;手术是首选治疗方法;手术方法有憩室剥离切除术、病变段空肠切除术、内翻缝合术等,术后均获痊愈。

Objective To analyze the clinical performance,diagnosis and treatment of jejunal diverticulum.Methods A retrospective analysis the clinical data of 68 patients with jejunal diverticulum in Dongda Hospital of Dan Country in Shandong Province from 1989 to 2010.Results 68 patients in this group of patients,including paroxysmal intermittent upper abdominal pain,symptoms of incomplete obstruction,upper abdominal tenderness,line barium meal examination and diagnosis of gastrointestinal surgery in 18 cases,13 patients with sudden upper abdominal pain,the formation of diffuse peritonitis,preoperative diagnosis of perforation of the upper gastrointestinal tract surgery,12 cases of adhesive intestinal obstruction due to jejunal diverticula were found,laparotomy for gastrointestinal bleeding diverticulum found in 8 patients Fen Chang,and the remaining 7 cases of other diseases The operative findings.Conclusion The elderly jejunal diverticulum occurred,to 50-80 years as more men,more common;jejunal diverticulum itself rarely causes symptoms,more than overshadowed by its complications;surgery is the preferred treatment;surgical resection of a diverticulum stripping,resection of the jejunum segment disease,such as inverted suture,postoperative were recovered.