Mekel憩室炎误诊为急性阑尾炎七例临床分析  

Mekel diverticulitis misdiagnosed as acute appendicitis in 7 cases and literature review

作　　者：王均[1] 朱秀玲[1] 刘玉敏[1] 

机构地区：[1]河北省玉田县医院普外科,064199

出　　处：《中国基层医药》2017年第14期2160-2162,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨Mekel憩室炎的临床特征,提高对该病的认识和诊断正确率.方法 回顾性分析7例术前误诊为急性阑尾炎的Mekel憩室炎患者的临床资料,并对相关文献进行复习.结果 7例Mekel憩室炎术前均误诊为急性阑尾炎,均于术中更正诊断及术式.其中1例术后合并轻度切口感染,其余6例术后未出现并发症.经治疗后均于术后7～12 d痊愈出院.结论 Mekel憩室炎临床上缺乏特异性的临床表现和行之有效的辅助检查方法,极易误诊为急性阑尾炎,当发现阑尾炎的临床表现不典型时,要进一步分析、辨别;当术中发现阑尾病变与临床不符时,应常规探查末端回肠以确定有无Meckel憩室炎的存在.Objective To investigate the clinical features of Mekel diverticulitis,and to improve the cognition rate and diagnosis rate of the disease.Methods The clinical data of 7 patients with Mekel diverticulitis misdiagnosed as acute appendicitis were retrospectively analyzed,and the related literature was reviewed.Results 7 cases of Mekel diverticulitis were misdiagnosed as acute appendicitis before surgery,all corrected diagnosis and operation.One case of mild incision infection after surgery,the remaining 6 cases did not appear complications.After treatment were cured after 7-12d discharged.Conclusion Mekel diverticulitis is lack of specific clinical manifestations and effective auxiliary examination method,easily misdiagnosed as acute appendicitis,when the clinical manifestations of appendicitis is not typical,need to further analysis,identification;when the surgery found appendix lesions are not coincide with clinical practice,the distal ileum should be routinely probed to determine the presence of Meckel diverticulitis.

关 键 词：憩室炎 阑尾炎 误诊 

分 类 号：R656.8[医药卫生—外科学]