摘要
目的探讨回盲部憩室炎的诊断和手术方式的选择。方法 27例回盲部憩室炎患者,其中末段回肠憩室炎10例,盲肠憩室炎10例,升结肠憩室炎7例。根据憩室部位、大小及周围肠管是否受累选择手术方式,包括憩室单纯切除术、回肠部分切除+端端吻合术、回盲部切除+回肠升结肠端侧吻合术。结果全组患者均获治愈,无围手术期死亡,无吻合口漏等严重并发症发生。结论回盲部憩室炎与急性阑尾炎临床表现极为相似,常需术中探查方能确诊。术中应注意探查,避免遗漏病变,根据憩室的具体情况选择合适的术式。
Objective To investigate the diagnosis and surgical procedure selection of ileoceca diverticulitis.Methods 27 patients with ileocecal diverticulitis,including 10 cases of Meckel's diverticulitis,10 caecal diverticulitis and 7 ascending colon diverticulitis,received surgical approaches,including diverticulectomy,partial ileal resection with end to end anastomosis as well as ileocecal resection with end to side anastomosis between ileal and ascending colon depending on the location and size of the diverticulitis. Results All cases were operated successfully without serious complication such as perioperative mortality,anastomotic leakage. Conclusion The diagnosis of ileocecal diverticulitis is usually perioperatively comfirmed due to the similar clinical manifestations between the ileocecal diverticulitis and acute appendicitis.The appropriate surgical procedure should be chosen according to the specific situation.
出处
《外科研究与新技术》
2014年第2期132-134,共3页
Surgical Research and New Technique
关键词
肠道憩室炎
急性阑尾炎
误诊
手术方式
Ileocecal diverticulitis
Misdiagnosis
Appendicitis
Operation method
