小肠灌肠对美克耳憩室的诊断（附10例手术病例）  

Diagnosis of Meckel's Diverticulum by Enteroclysis

作　　者：顾海燕[1] 朱孝廷[1] 沈谋绩[1] 

机构地区：[1]上海第二医科大学附属仁济医院放射科

出　　处：《临床放射学杂志》1995年第6期355-357,共3页Journal of Clinical Radiology

摘　　要：美克耳憩室导致消化道出血，每需手术治疗，但术前能为Ｘ线检查所确诊者为数不多，成年患者更易于漏诊或误诊。本文报道应用插管法小肠钡剂灌肠发现本病１０例，均经手术治疗而得到病理证实。本文讨论时提出：美克耳憩室缺乏特异症状和临床表现，应用插管法作小肠钡剂灌肠，易于显示憩室之囊袋状充盈像。偶尔美克耳憩室可出现多种并发症，憩室之典型Ｘ线征象常被隐匿，而其Ｘ线表现呈多样化。本病Ｘ线诊断需与下列疾病相鉴别：（１）回肠重复畸形；（２）回肠炎性病变；（３）局限性回肠扩张症。作者通过病例分析指出相应鉴别要点。Meckel's diverticulum usually caused the bleeding of the digestive tract neede the surgical operation but few cases were confirmed by x-ray examination before operation. The adult patients were more easily to be misdiagnose. Ten cases diagnosed as Meckel's diverticulum by enteroclysis proved by surgery and pathology were reported. Its showed the Meckel's diverticulum was lacking in specific symptoms and clinical manifestations. The sac of the diverticulum was easily to be filled with barium by enteroclysis. Sometimes Meckel's diverticulum may cause many complications, and the x-ray findings varied since the typical signs were often hidden. The main differential diagnosis included duplication of the ileum, inflammation of the ileum and regional dilatation of the ileum.

关 键 词：美克耳憩室 憩室 诊断 小肠灌肠 钡剂 

分 类 号：R656.7[医药卫生—外科学]