儿童梅克尔氏憩室继发肠套叠的临床分析

Clinical analysis of secondary intussusception of children’s Meckel’s diverticulum

目的探讨儿童梅克尔氏憩室继发肠套叠的临床特点及诊治特点。方法回顾性分析德州市人民医院2012年1月-今2016年1月收治的8例儿童梅克尔氏憩室继发肠套叠患儿的资料。结果全组患儿病程>1周者5例,其中3例有过肠套叠史。行肠切除肠吻合术6例。2例行憩室楔形切除,随访6个月至1年。8例患儿未再发生肠套叠、梗阻、出血、吻合口瘘等并发症。结论引起肠套叠的梅克尔憩室由于症状不典型,很容易误诊,手术是有效的根治方法。

Objective To explore the clinical characteristics and diagnosis and treatment of secondary intussusception of children’s Meckel’s diverticulum. Methods The data of 8 cases of secondary intussusception of children’s Meckel’s diverticulum were collected and retrospectively analyzed in the People’s Hospital of Dezhou Cityfrom January 2012 to January 2016. Results There were 5 patients whose courses of disease were>1 week in the whole group, and 3 of them had a history of intussusception. There were 6 patients with enterostomy, and 2 with the routine diverticulum cuneate excision.The followed-up was from 6 months to 1 year. No complications, such as intussusception, obstruction, bleeding, and anastomotic fistula, occurred in all the 8 patients. Conclusion It is very easy to misdiagnose secondary intussusception of children’s Meckel’s diverticulum because its symptoms are atypical. The surgery operation is the effective radical cure method.