成人卵黄管残留11例的临床分析  

Clinical analysis of residual vitelline duct in adults

作　　者：徐剑军 程翔[1] 胡少勃[1] 周星 王立宇[1] 王为民 郑启昌[1] Xu Jianjun;Cheng Xiang;Hu Shaobo;Zhou Xing;Wang Liyu;Wang Weimin;Zheng Qichang(Department of Hepatobiliary Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,Chin)

机构地区：[1]华中科技大学同济医学院附属协和医院肝胆和腹壁外科,武汉430022

出　　处：《中华普通外科杂志》2018年第7期582-584,共3页Chinese Journal of General Surgery

摘　　要：目的总结成人卵黄管残留的临床特点，探讨成人卵黄管残留的诊断和治疗策略。方法回顾性分析2012年6月至2017年5月华中科技大学同济医学院附属协和医院收治的11例成人卵黄管残留患者的临床资料。结果本组11例患者中男8例，女3例：中位年龄为50岁（18～57岁）；其中Meckel憩室9例，卵黄管囊肿2例；2例伴异位组织，3例伴溃疡出血，1例继发腹内疝伴肠梗阻，2例继发感染。病理诊断与术前诊断相符的有5例，均为Meckel憩室。随访时间为6个月～2年，均未出现术后并发症。结论成人卵黄管残留多为Meckel憩室和卵黄管囊肿，多无特异性症状。卵黄管残留有恶变的风险，手术切除残留卵黄管为主要的治疗方法。Objective To summarize the clinical characteristics of adult patients with residual yolk duct, and to explore the diagnosis and treatment strategy of residual vitelline duct in adults. Methods A retrospective analysis on 11 adult cases with residual vitelline duct in our hospital between June 2012 and May 2017 was carried out. Results 8 cases were males, 3 cases were females, and median age was 50 years （18 -57 y）. 2 cases were vitelline cyst, 9 cases were Meckel diverticulum. 2 cases were with ectopic tissue, 3 cases with ulcer bleeding, 1 case with secondary intra-abdominal hernia and intestinal obstruction, 2 cases with secondary infection. The pathological diagnosis of Meckel diverticulum was consistent with preoperative diagnosis. There were no major postoperative complications. The patients were followed up from 6 months to 2 years. Conclusion Most of the residual vitelline duct in adults are Meckel diverticulum and vitelline duct cyst. Resection of residual vitelline duct is the main treatment method.

关 键 词：卵黄管 腹壁 外科手术 

分 类 号：R657.7[医药卫生—外科学]