摘要
目的对比分析内翻型梅克尔憩室(IMD)继发肠套叠和梅克尔憩室(MD)继发肠套叠的临床表现及诊治情况,探究早期诊断IMD的方法,减少漏诊,提高诊治水平。方法回顾性分析徐州市儿童医院自2015年1月至2025年1月共收治IMD及MD继发肠套叠患儿38例,IMD继发肠套叠患儿18例作为研究组,MD继发肠套叠患儿20例作为对照组,分析其临床特点、辅助检查和手术方法。结果研究组发病时间24 h(13.5,48),对照组发病时间14.5 h(8,24);研究组住院天数(7.94±1.11)d,对照组住院天数(8.65±1.90)d,差异有统计学意义(P<0.05),研究组中肠坏死1例(5.6%),对照组中肠坏死例数8例(40%),肠坏死例数具有统计学意义(P<0.05)。结论IMD继发肠套叠临床发病率较低,B超能够实现早期诊断,一旦发现肠套叠合并小肠异常病变患儿,需警惕IMD可能,对此类患儿行腹腔镜检查时更需注意防止漏诊IMD的存在。
Objective To comparatively analyze the clinical manifestations,diagnosis and treatment of intussusception secondary to inverted Meckel diverticulum(IMD)and intussusception secondary to Meckel diverticulum MD(MD),explore methods for early diagnosis of IMD,reduce missed diagnosis,and improve diagnosis and treatment.Methods A total of 38 children with intussusception secondary to IMD and MD who were treated in Xuzhou Children's Hospital from January 2015 to January 2025 were retrospectively analyzed.Eighteen children with intussusception secondary to IMD served as the study group,and 20 children with intussusception secondary to MD served as the control group.Their clinical characteristics,auxiliary examinations and surgical methods were analyzed.Results The onset time of the study group was 24 hours(13.5,48),and the onset time of the control group was 14.5 hours(8,24).The hospitalization days of the study group were(7.94±1.11)days,and the hospitalization days of the control group were(8.65±1.90)days,the difference was statistically significant(P<0.05).There was 1 case of intestinal necrosis in the study group(5.6%),and 8 cases of intestinal necrosis(40%)in the control group,the number of intestinal necrosis cases was statistically significant(P<0.05).Conclusion The clinical incidence of intussusception secondary to IMD is low,and ultrasonography can achieve early diagnosis.Once children with intussusception and abnormal small intestinal lesions are found,we need to be alert to the possibility of IMD.When performing laparoscopy in such children,we need to pay more attention to preventing the existence of IMD from being missed.
作者
张腾飞
曹慧
李世宪
朱肖
郭彪
寇明智
ZHANG Tengfei;CAO Hui;LI Shixian;ZHU Xiao;GUO Biao;KOU Mingzhi(Department of General Surgery,The Xuzhou Children's Hospital,Xuzhou,Jiangsu 211000,China)
出处
《手术电子杂志》
2026年第1期40-43,58,共5页
Electronic Journal of Medical Operations
基金
徐州市卫生健康委科技项目(XWKYHT20230018)。
关键词
内翻型梅克尔憩室
梅克尔憩室
急性肠套叠
早期诊断
inverted Merkel diverticulum
Merkel diverticulum
acute intussusception
early diagnosis
