Dixon P M, Nolan D J
Department of Radiology, John Radcliffe Hospital, Oxford.
Clin Radiol. 1987 Nov;38(6):615-9. doi: 10.1016/s0009-9260(87)80338-0.
During a 10 year period 49 patients were operated upon in Oxford for Meckel's diverticulum. Radiological imaging of the small intestine with radionuclide scintigraphy, small bowel barium enema or angiography was performed in 11 patients. Radionuclide scintigraphy was positive in one out of six patients investigated. The small bowel barium enema detected an abnormality in seven out of eight patients examined and identified the diverticulum in six. Angiography was performed in three patients and active bleeding was demonstrated in two. Our experience would indicate that the small bowel enema is the method of choice for the investigation of suspected Meckel's diverticulum. Patients with acute bleeding should, however, be investigated with angiography.
在10年期间，牛津有49例患者因梅克尔憩室接受了手术。11例患者接受了小肠放射性核素闪烁扫描、小肠钡灌肠或血管造影等影像学检查。在接受检查的6例患者中，1例放射性核素闪烁扫描呈阳性。小肠钡灌肠在8例受检患者中有7例检测到异常，其中6例确定为憩室。3例患者接受了血管造影，2例显示有活动性出血。我们的经验表明，小肠钡灌肠是疑似梅克尔憩室检查的首选方法。然而，急性出血患者应采用血管造影进行检查。
