论文部分内容阅读
目的了解美克尔憩室(Meckel,sDiverticulum,MD)合并其他畸形的发病情况,探讨MD病理组织学特点、并发症、临床症状之间的联系。方法对我院1990年1月～2003年1月MD61例病理变化和临床特点进行回顾性分析。结果61例MD中10例(16.4%)合并其他畸形;53例(86.9%)有并发症;55例(90.2%)有临床症状;26例(42.6%)有异位胃粘膜(ectopicgastrical-mucosa,EGM)。有EGM的患儿发生出血情况与无EGM的患儿比较,差异显著(P<0.005)。有临床症状的55例中,49例(89.1%)有并发症;无临床症状的6例中,无1例有并发症。结论MD可与其他畸形合并存在,手术中应仔细检查以免漏诊。对于MD患儿,EGM促发出血作用明显;并发症与相关临床症状有密切关系;
Objective To investigate the incidence of Meckel sDiverticulum (MD) combined with other deformities and explore the relationship between MD histopathological features, complications and clinical symptoms. Methods The pathological changes and clinical features of MD 61 cases in our hospital from January 1990 to January 2003 were retrospectively analyzed. Results Sixty-one patients (16.4%) had other deformities. Fifty-three patients (86.9%) had complications. Fifty-five patients (90.2%) had clinical symptoms. Sixteen patients (42.6%) had ectopic gastric-mucosa , EGM). Bleeding in children with EGM was significantly different from those without EGM (P <0.005). Of the 55 patients with clinical symptoms, 49 (89.1%) had complications; none of the 6 patients without clinical symptoms had complications. Conclusion MD may be combined with other deformities, surgery should be carefully checked to avoid missed diagnosis. For children with MD, EGM-induced bleeding significantly; complications and related clinical symptoms are closely related;