先天性脐膨出合并梅克尔憩室临床诊治分析

Clinical Analysis of Congenital Omphalocele Combined Meckel′s Diverticulum

目的探讨先天性脐膨出合并梅克尔憩室的临床特点及治疗体会。方法回顾性分析笔者医院2008年4月～2010年11月收治的10例先天性脐膨出合并梅克尔憩室患儿的临床资料,总结其治疗经验及预后情况。结果本组10例均行一期修补术治疗,8例行憩室楔形切除,2例行回肠部分切除。自动出院2例,其余预后良好。结论先天性脐膨出合并梅克尔憩室的诊断较易,一期手术效果好,故对术中发现的无症状的梅克尔憩室可以而且应当予以处理。术后加强呼吸监测和管理、抗感染及营养支持治疗是治疗的关键。

Objective To investigate the clinical characteristics and management of congenital omphalocele combined Meckel＇s diverticulum. Methods A retrospective analysis of 10 cases of congenital omphalocele combined Meckel＇s diverticulum treated in the Yuying Children Hospital of Wenzhou Medical College from April 2008 to November 2010 was performed. Results All of the 10 cases underwent ncoplasty. Wedge resections of diverticulum were attempted in 8 cases, and ileal resections in 2 cases. Good prognosises were noted in most cases, whereas 2 cases of discharge were recorded. Conclusion The combination of congenital omphalocele and Meckel＇s diverticulum is easy to diagnosed, and good effect of surgery was expected. Asymptomatic Meckel＇s diverticulum found during operations can be and should be treated. Strengthening of the monitoring and management of respiratory, anti - infection and nutritional support after operation are the key of treatment.