摘要
目的分析小儿梅克尔憩室的临床特点。方法通过复习病历和随访回顾性分析2003年1月至2009年3月在我院经手术及病理检查确诊的27例小儿梅克尔憩室。结果无症状2例,便血为主15例,腹痛为主9例,其他1例。有9例行两孔法腹腔镜辅助的憩室切除术,余均开放手术。便血为主的15例中有10例见有异位胃黏膜(核素检查7例阳性、2例阴性,1例未行核素检查),5例未见到异位胃黏膜(核素检查5例均阳性)。结论小儿梅克尔憩室因并发症而出现临床症状,异位胃黏膜是合并出血的主要原因。手术切除是治疗小儿梅克尔憩室的主要方法 。
Objective To summarize the clinical characteristics of Meckel＇s diverticulum.Methods 27 patients（22 males and 5 females）with Meckel＇s diverticulum from January 2003 to March 2009 were confirmed by surgery and pathological examination.They were retrospectively analyzed by reviewing and following up.Results Accordingtoclinical manifestations,the patients were divided intofour groups：2 cases of asymptomatic,15 cases of hematochezia,9 cases of abdominal pain,and 1 case of the other.9 cases were performed two-holes la-paroscopy assisted resection of the diverticulum,the others performed open surgery.Among the 15 cases of hematochezia,ectopic gastric mucosa could be seen in 10 cases（radionuclide examination,7 cases of positive,2 cases of negative and 1 case without checking）,and not seen in 5 cases（all were positive in radionuclide exami-nation）.Conclusions Meckel＇s diverticulum in children is symptomatic when complicated.Ectopic gastric mu-cosa is the main reason for bleeding.Surgical resection was the treatment of Meckel＇s diverticulum.
出处
《中华普通外科学文献（电子版）》
2010年第3期43-44,共2页
Chinese Archives of General Surgery(Electronic Edition)
关键词
梅克尔憩室
异位胃黏膜
腹腔镜外科手术
Meckel＇s diverticulum Ectopic gastric mucosa Laparoscopic surgical procedures
作者简介
通讯作者：莫家骢，Email：pediatricsurgery@163.com
