摘要
目的 分析成人小肠憩室慢性出血误诊原因 ,探讨进一步诊治对策。方法 收集我院 1990～ 2 0 0 0年收治的原因不明的成人小肠慢性出血后经手术确诊的小肠憩室 12例 ,对临床资料及随访结果进行分析。结果 十二指肠乳头部憩室 4例 (33%) ,空回肠憩室 4例 (33%) ,Meckel憩室 3例 (2 5 %) ,空、回肠及结肠多发性憩室 1例 (8%) ,术后随访 ,无再出血。结论 成人小肠憩室慢性出血用内镜 ,X线胃肠钡剂造影 ,肠系膜上动脉造影 ,放射性核素扫描等诊断受限 ,确诊困难 ,极易延误诊治。提高对该病的认识 ,选择新的检查手段和适当的时机 ,尽早施行剖腹探查 ,是避免误诊 ,提高诊断率的关键。
Objective To analyze the causes of misdiagnosis of chronic bleeding from small bowel diverticula in adults and to investigate the optimal treatment for the disease.Methods The data of 12 patients,admitted between 1990～2000,with chronic bleeding in small bowel for unknown causes ,diagnosed as small bowel diverticula after operations,were analyzed here.Results There were 4 cases of duodenal diverticula near papilla of vater(33%),4 acquired jejunoileal diverticula(33%),3 Meckel's diverticula(25%) and 1 multiple jejunoileal colonal diverticula(8%),and the bleeding did not occur during post-operative period.Conclusions It was difficult to diagnose chronic bleeding in small bowel diverticula with endoscope,X-ray imaging of gastrointestinal tract,selective arteriography and radionuclide scintigraphy,therefore improved wake of the disease,selecting new examination method and optimal time for operation ,and early laparotomy were the key to avoid misdiagnosis and correct diagnosis.
出处
《中国误诊学杂志》
CAS
2002年第1期33-35,共3页
Chinese Journal of Misdiagnostics
关键词
肠疾病
小肠憩室
出血
误诊
Intestinal diseases/diagnosis
Intestine,small
Diverticulum/diagnosis
Hemorrhage
Diagnosis errors
