临床儿科杂志
臨床兒科雜誌
림상인과잡지
2014年
9期
885-887
,共3页
张双红%万盛华%关晏星%邓庆强%杨文萍%陈庆杰
張雙紅%萬盛華%關晏星%鄧慶彊%楊文萍%陳慶傑
장쌍홍%만성화%관안성%산경강%양문평%진경걸
儿童%梅克尔憩室%99mTcO4-%放射性核素显像
兒童%梅剋爾憩室%99mTcO4-%放射性覈素顯像
인동%매극이게실%99mTcO4-%방사성핵소현상
child%Meckel’s diverticulum%99mTcO4-%radionuclide imaging technique
目的:评价99mTcO4-胃黏膜异位核素显像诊断儿童梅克尔憩室的临床价值。方法回顾性分析95例消化道出血患儿99mTcO4-显像,手术及病理组织学检查结果。结果95例患儿行99mTcO4-核素检查发现梅克尔憩室44例,检出率为46.3%;其中诊断胃黏膜小肠异位52.3%(23/44),疑诊胃黏膜小肠异位47.7%(21/44);男∶女为7.8∶1。37例核素显像阳性者行手术治疗,其中35例术中见梅克尔憩室,1例术中见肠重复畸形,1例术中未发现憩室病变。35例术中见梅克尔憩室患儿的病理诊断均为梅克尔憩室、胃黏膜上皮异位,其中2例伴溃疡形成,1例伴小片胰腺组织,1例伴回盲部化脓性肠炎,1例伴慢性阑尾炎。结论99mTcO4-显像可作为儿童梅克尔憩室首选的无创伤性检查方法,具有重要的临床诊断价值。
目的:評價99mTcO4-胃黏膜異位覈素顯像診斷兒童梅剋爾憩室的臨床價值。方法迴顧性分析95例消化道齣血患兒99mTcO4-顯像,手術及病理組織學檢查結果。結果95例患兒行99mTcO4-覈素檢查髮現梅剋爾憩室44例,檢齣率為46.3%;其中診斷胃黏膜小腸異位52.3%(23/44),疑診胃黏膜小腸異位47.7%(21/44);男∶女為7.8∶1。37例覈素顯像暘性者行手術治療,其中35例術中見梅剋爾憩室,1例術中見腸重複畸形,1例術中未髮現憩室病變。35例術中見梅剋爾憩室患兒的病理診斷均為梅剋爾憩室、胃黏膜上皮異位,其中2例伴潰瘍形成,1例伴小片胰腺組織,1例伴迴盲部化膿性腸炎,1例伴慢性闌尾炎。結論99mTcO4-顯像可作為兒童梅剋爾憩室首選的無創傷性檢查方法,具有重要的臨床診斷價值。
목적:평개99mTcO4-위점막이위핵소현상진단인동매극이게실적림상개치。방법회고성분석95례소화도출혈환인99mTcO4-현상,수술급병리조직학검사결과。결과95례환인행99mTcO4-핵소검사발현매극이게실44례,검출솔위46.3%;기중진단위점막소장이위52.3%(23/44),의진위점막소장이위47.7%(21/44);남∶녀위7.8∶1。37례핵소현상양성자행수술치료,기중35례술중견매극이게실,1례술중견장중복기형,1례술중미발현게실병변。35례술중견매극이게실환인적병리진단균위매극이게실、위점막상피이위,기중2례반궤양형성,1례반소편이선조직,1례반회맹부화농성장염,1례반만성란미염。결론99mTcO4-현상가작위인동매극이게실수선적무창상성검사방법,구유중요적림상진단개치。
Objective To evaluate the accuracy of 99mTcO4- gastrointestinal imaging in the diagnosis of Meckel’s diverticulum in children. Methods The clinical data of 99mTcO4-imaging, surgery and pathological results of 95 children with gastrointestinal bleeding were retrospectively analyzed. Results Forty-four cases of 95 patients had positive ifnding of 99mTcO4-ectopic gastric mucous membrane imaging, and positive rate was 46.3%. In the positve cases 52.3%cases (23/44) were diagnosed of intestinal heterotopic gastric mucosa, 47.7%cases (21/44) were suspected of intestinal heterotopic gastric mucosa. The sex ratio (males to females) was 7.8:1. Thirty-seven positive cases underwent operation;among them, 35 cases were found to have Meckel’s diverticulum and 1 case had duplication of the digestive tract;Diverticulum lesion was not found in 1 case. The samples of 35 cases diagnosed surgically of Meckel’s diverticulum were examined by pathologic histology. All 35 cases were conifrmed as Meckel’s diverticulum and ectopic gastric mucosa epithelium, including 2 cases with ulcer formation, 1 case with small patches of pancreatic tissue, 1 case with ileocecal junction of suppurative enteritis and 1 case with chronic appendicitis. Conclusions 99mTcO4-radionuclide imaging technique is of high value for the non-invasive diagnosis of children’s Meckel’s diverticulum.