Nicol J W, MacKinlay G A
Royal Hospital for Sick Children, Edinburgh, UK.
J R Coll Surg Edinb. 1994 Feb;39(1):6-7.
Fifty-four cases of exomphalos were reviewed. After the exclusion of five cases, seven out of 25 cases of exomphalos minor had co-existing Meckel's diverticulum compared with one out of 24 cases of exomphalos major. The high incidence of Meckel's diverticulum in exomphalos minor highlights the importance of surgical rather than manual reduction of the sac contents in order to exclude the presence of viscera from the sac before division. Also, the raised incidence of Meckel's diverticulum in general may well be due to a raised incidence in exomphalos minor in particular.
回顾了54例脐膨出病例。排除5例后，25例小型脐膨出中有7例并存梅克尔憩室，而24例大型脐膨出中只有1例并存梅克尔憩室。小型脐膨出中梅克尔憩室的高发病率凸显了手术复位而非手动复位囊内容物的重要性，以便在切断前排除囊内存在的脏器。此外，梅克尔憩室总体发病率的升高很可能特别是由于小型脐膨出发病率的升高。
