腹腔镜诊治小儿美克尔憩室的临床价值  

Laparoscopy in the diagnosis and treatment of Meckel's diverticulum in children

作　　者：周欣[1] 卞红强[1] 黄茂华[1] 叶国刚[1] 李瑛[1] 侯连杰[1] 

机构地区：[1]武汉市儿童医院,武汉430016

出　　处：《腹腔镜外科杂志》2003年第2期114-115,共2页Journal of Laparoscopic Surgery

摘　　要：目的 :探讨腹腔镜对小儿美克尔憩室 (MD)并出血的诊断及治疗价值。方法 :1997年 6月至2 0 0 2年 4月对美克尔憩室 13例行腹腔镜憩室切除术。 13例患儿均有间歇性便血史 ,术前99mTc扫描 ,8例在右下腹显示放射物聚集 ,5例阴性。结果 :全组术后恢复顺利 ,随访 6月～ 2年 ,未再便血 ,生长发育正常。结论 :与传统的开腹手术相比 ,腹腔镜手术具有切口小 ,患者康复快 ,能直接进行诊断及治疗 ,术后并发症少等优点。有条件的医院可将其作为有症状的MD患儿的常规治疗方法。Objective:To investigate the diagnosis and treatment value of laparoscopy in children's Meckel's diverticulum (MD) with bleeding.Methods:Between June 1997 and April 2002,13 patients were performed laparoscopic Meckel's diverticulectomy.All children had 99m Tc scanning before operation,8 cases showed manifesation of radiation aggregation, but 5 cases were negative.Results:All patients recovered successfully after operation. After 6 months to 2 years follow up,the patients didn't ever manifested hematochezia and normally grew up.Conclusions:Compared with traditional operation, laparoscopic surgery has many advantages in small incision,quick recovery,direct diagnosis and treatment,few post operative complications.It may be the routine treatment method for children's MD in the pediatric surgery in hospital with necessary conditions.

关 键 词：小儿 美克尔憩室 腹腔镜手术 临床疗效 

分 类 号：R726.5[医药卫生—儿科]