CAJ | 학술논문

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.99m Tc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.
목적 총결매극이게실병발증림상특점,제고대해병병발증적진치수평.방법 회고성분석아원근3년수치적101례매극이게실병발증수술환인진료경과,대기증상、검사、수술정황등진행통계학분석.결과 병발증중출혈50례、장경조37례、게실염7례、천공7례,비례약위7:5:1:1.본조매극이게실99mTc검사민감도92％,전부병례전유출원.결론 환인중출혈최상견,병발경조、염증급천공술전불역학진.99m Tc검사가이진단매극이게실,기준학솔여화이위조직상관,수게실염증영향;여성별、년령、병정、게실거회맹부거리무상관성.
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 diverticulum,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,inflammation 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.