Cooney D R, Duszynski D O, Camboa E, Karp M P, Jewett T C
J Pediatr Surg. 1982 Oct;17(5):611-9. doi: 10.1016/s0022-3468(82)80121-8.
Out of 270 children with gastrointestinal symptoms, the indications for technitium scanning were: gastrointestinal tract bleeding (165 patients), abdominal pain (99 patients) and a history of intussusception (6 patients). Thirty children had abnormal findings, while the remaining 240 patients had "normal" scans. Four of the 30 children with positive scans were not explored, while the others underwent laparotomy. Of the 26 operated patients, 12 (46%) had a Meckel's diverticulum. Nine patients (34%) had other pathologic lesions that were detected by the scan. Five had true "false positives" as no pathologic lesions were found. Of the 240 children with negative scans, 19 were eventually explored because of persistent symptoms or clinical findings. Two of these had a Meckel's diverticulum. Eleven had a negative exploration while six had other surgical lesions. Technitium scan should reliably detect around 80%-90% of Meckel's diverticula. It will also accurately exclude the diagnosis of Meckel's diverticulum in over 90% of patients.
在270名有胃肠道症状的儿童中，锝扫描的指征为：胃肠道出血（165例患者）、腹痛（99例患者）和肠套叠病史（6例患者）。30名儿童有异常发现，其余240例患者扫描结果“正常”。30例扫描阳性的儿童中有4例未接受探查，其余患者接受了剖腹手术。在26例接受手术的患者中，12例（46%）有梅克尔憩室。9例（34%）有扫描发现的其他病理病变。5例为真正的“假阳性”，因为未发现病理病变。在240例扫描阴性的儿童中，19例因症状持续或有临床发现最终接受了探查。其中2例有梅克尔憩室。11例探查结果为阴性，6例有其他外科病变。锝扫描应能可靠地检测出约80%-90%的梅克尔憩室。它还能在超过90%的患者中准确排除梅克尔憩室的诊断。
