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目的 报告腹腔镜诊治 2 2例小儿小肠反复出血性疾病的结果及其优越性。方法 2 2例反复发作性便血患儿 ,平均年龄 4.8岁 ,放射性核素99mTc异位胃粘膜扫描 17例阳性 ,2 2例均接受腹腔镜手术。将 10例行开放性手术的梅克尔憩室患儿临床资料作对照。结果 19例为梅克尔憩室 ,回肠重复畸形、回肠息肉、空肠血管瘤各 1例。 2 0例成功施行腹腔镜辅助肠切除术。结论 腹腔镜手术是诊断治疗小儿小肠反复出血性疾病的理想方法
Objective To report the results and superiority of laparoscopic diagnosis and treatment of 22 cases of recurrent small intestinal hemorrhage in children. Methods Twenty-two children with recurrent hematochezia had a mean age of 4.8 years. Seventeen cases of radionuclide 99mTc ectopic gastric mucosa were positive and twenty-two cases received laparoscopic surgery. The clinical data of 10 children with Merkel diverticulum undergoing open surgery were compared. The results of 19 cases of Merkel diverticulum, ileum repeat deformity, ileal polyps, jejunum hemangioma in 1 case. Successful laparoscopic assisted bowel resection was performed in 20 cases. Conclusion Laparoscopic surgery is an ideal method for diagnosis and treatment of recurrent small intestinal bleeding in children