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目的探讨小儿美克尔憩室内翻致肠套叠的原因、诊断和治疗方法。方法回顾分析10例美克尔憩室内翻致肠套叠的临床资料。其中美克尔憩室楔形切除3例,肠切除肠吻合术7例。术中发现复位套叠肠管肠壁见小孔,肠腔内可触及条索状物,形如肠内息肉。结果术后均经病理组织学检查证实肠内条索状物为美克尔憩室,术后随访1～10年未再发生肠套叠。结论行美克尔憩室楔形切除或肠切除肠吻合术是治疗本病的关键。对反复发作的肠套叠要警惕存在憩室的可能性。
Objective To investigate the causes, diagnosis and treatment of intussusception in children with Meckeloff diverticula. Methods Retrospective analysis of 10 cases of merkel diverticulitis intussusception clinical data. Meikel diverticulum wedge resection in 3 cases, bowel resection anastomosis in 7 cases. Reposition found in the intestinal mucosa resection of bowel see small holes, bowel can reach the cord-like objects, such as intestinal polyps. Results Postoperative histopathological examination confirmed the intestinal cord as merkel diverticulum, followed up for 1 to 10 years without recurrence of intussusception. Conclusions The key to the treatment of this disease is the wedge resection or intestinal resection of intestinal anastomosis. Recurrence of intussusception to be alert to the possibility of diverticulum exists.