中华普通外科学文献(电子版) ›› 2010, Vol. 04 ›› Issue (03) : 243 -245. doi: 10.3877/cma.j.issn.1674-0793.2010.03.015 × 扫一扫
所属专题： 经典病例； 文献；
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Jun-jie SUN1, Zhe XU1, Zhi-chong ZHANG1, Jun-cheng LIU1, Jia-cong MO1,†()
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孙俊杰, 徐哲, 张志崇, 刘钧澄, 莫家骢. 小儿梅克尔憩室27例临床分析[J]. 中华普通外科学文献(电子版), 2010, 04(03): 243-245.
Jun-jie SUN, Zhe XU, Zhi-chong ZHANG, Jun-cheng LIU, Jia-cong MO. Meckel′s diverticulum in children: clinical analysis of 27 cases[J]. Chinese Archives of General Surgery(Electronic Edition), 2010, 04(03): 243-245.
分析小儿梅克尔憩室的临床特点。
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。
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）。
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。
To summarize the clinical characteristics of Meckel's diverticulum.
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.
According to clinical manifestations, the patients were divided into four 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 laparoscopy 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 examination).
Meckel's diverticulum in children is symptomatic when complicated. Ectopic gastric mucosa is the main reason for bleeding. Surgical resection was the treatment of Meckel's diverticulum.