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儿童美克耳憩室的临床及病理学特征 被引量:3

THE CLINICAL AND PATHALAGICAL CHARACTER-ISTICS IN MECKEL’S UIVERTICULUM CHILDREN
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摘要 本文报告近15年113例经手术及病理证实的美克耳憩室,并发症主要为肠梗阻,憩室炎,憩室穿孔及下消化道出血等。病理学特征为憩室距回盲部平均距离为46.6cm.81例中18例憩室含有异位胃粘膜或(和)胰腺组织。讨论了提高术前确诊率及规范手术的临床意义。 ne hundred and thirteen cases of children with Meckel’s diverticulumdiagnosed by operationin the last 15 years were reparted.The main surgical complications of those cases are ilealobetruction,diverticuli tis,perforati on of diverticula,peritonitis and intestinal hemarrhage. Themean distanse frcm Mecket’s divrticula to cecum measured in operation is 46.6 centieters. Thereare ecptopic gastric mucosa and pancreatic tissue in the mucosea of diverticula of 18 patients from81 cases.The clinical significance of some methods for preoperative diagnosis and a standardoperation style were discussed.
出处 《重庆医科大学学报》 CAS CSCD 1996年第2期133-134,共2页 Journal of Chongqing Medical University
关键词 儿童 美克耳憩室 诊断 治疗 病理学 Child Meckel’s diverticulum Diagnosis Treatment.
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  • 1金惠明 张忠德.小儿美克尔憩室组织学的临床特征[J].中华小儿外科杂志,1995,16(2):104-104.
  • 2周以明 李忻 等.小儿美克尔憩室的临床与病理物点[J].中华小儿外科杂志,1996,17(6):362-362.
  • 3J unge K, Marx A, Peiper CH, et al. Caecal-diverticulitis: a rare differential diagnosis for right-sided lower abdominal pain[J ]. Colorectal Dis,2003, 5(3) :241-245.
  • 4Haider SI, Hunt TM, Macha K. Caecal diverticulitis[J]. Colorectal Dis,2004, 6(2): 130-131.
  • 5Piccolini M, Francia L, Rosa CB, et al. Complicated diverticular disease of the right colon. Diagnostic and therapeutic difficulties: our experience [J]. Chir Ital, 2003, 55(6) :871-877.
  • 6Chan CC, Lo KK, Chung EC, et al. Colonic diverticulosis in Hong Kong: distribution pattern and clinical significance [ J ]. Clin Radiol,1998, 53(11): 842-844.
  • 7于庆平,王梁.Meckel憩室36例诊治体会[J].中国普通外科杂志,2003,12(11):873-873. 被引量:8
  • 8袁维堂,李德旭,吴长才.成人Meckel憩室并发症的诊断和治疗[J].中华普通外科杂志,2004,19(2):119-119. 被引量:7

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