摘要
目的总结梅克尔憩室并发症临床特点，提高对该病并发症的诊治水平。方法回顾性分析我院近3年收治的101例梅克尔憩室并发症手术患儿诊疗经过，对其症状、检查、手术情况等进行统计学分析。结果并发症中出血50例、肠梗阻37例、憩室炎7例、穿孔7例，比例约为7：5：1：1。本组梅克尔憩室^99mTc检查敏感度92％，全部病例痊愈出院。结论患儿中出血最常见，并发梗阻、炎症及穿孔术前不易确诊^99mTc检查可以诊断梅克尔憩室，其准确率与和异位组织相关，受憩室炎症影响；与性别、年龄、病程、憩室距回盲部距离无相关性。
Objective To analyze the complications of Meckel＇s diverticulum（MD） in children in order to improve the diagnosis and treatment level. Methods Medical records of 101 cases of MD during passed 3 years were reviewed retrospectively. The statistic studies of symptoms, examinations, surgical management were analyzed. Results In this group, there were 50 cases of hemorrhage of di- verticulum, 37 intestinal obstruction, 7 diverticulum perforation and 7 diverticulitis, the ratio is about 7：5：1 ： 1. The sensitivity of ^99mTc scan was 92%. All patients cured. Conclusions In children group, the most common complication is bleeding. It is difficult to diagnose intestinal obstruction, inflamma-tion and perforation of diverticulum before surgery. MD can be diagnosed by ^99mTc scan, however its sensitivity associated with heterotopia and the inflammation of diverticulum, not with the sex, age, course and the distance from the diverticulum to ileocecal.
出处
《中华小儿外科杂志》
CSCD
北大核心
2012年第11期826-828,共3页
Chinese Journal of Pediatric Surgery
基金
国家自然科学基金项目（编号：39370718）
关键词
梅克尔憩室
手术后并发症
诊断
Meckel diverticulum
Postoperative complications
Diagnosis
