Matsagas M I, Fatouros M, Koulouras B, Giannoukas A D
Department of Surgery, University of Ioannina Medical School, Greece.
Arch Surg. 1995 Feb;130(2):143-6. doi: 10.1001/archsurg.1995.01430020033003.
To elucidate the incidence of Meckel's diverticulum; to determine the correlation between the histologic type of the diverticulum's mucosa and its clinical presentation; and to review our experience with Meckel's diverticulum.
Case-control study.
University hospital in Ioannina, Greece.
A total of 2074 patients undergoing an appendectomy were examined intraoperatively for Meckel's diverticulum (subgroup A1). In addition, Meckel's diverticulum was found incidentally in 15 patients who were undergoing intra-abdominal surgery (subgroup A2). An operation for a complicated Meckel diverticulum was performed in an additional 15 patients (group B).
Thirty-three (1.59%) Meckel diverticulae were found incidentally among 2074 patients in subgroup A1. A positive correlation between Meckel's diverticulum and male sex was found (P < .004), but no difference was found in sex distribution between patients in group B and subgroup A1 (P < .6744). The histologic type of the mucosa (gastric) had significant positive correlation with the clinical presentation of the diverticulum (complicated) (P < .001).
Resection of the unexpected Meckel diverticulum can be performed safely with a low complication rate, regardless of the patient's age.
阐明梅克尔憩室的发病率；确定憩室黏膜组织学类型与其临床表现之间的相关性；并回顾我们在梅克尔憩室方面的经验。
病例对照研究。
希腊约阿尼纳的大学医院。
共有2074例行阑尾切除术的患者在术中接受了梅克尔憩室检查（A1亚组）。此外，在15例行腹部手术的患者中偶然发现了梅克尔憩室（A2亚组）。另外15例患者因复杂性梅克尔憩室接受了手术（B组）。
在A1亚组的2074例患者中偶然发现33例（1.59%）梅克尔憩室。发现梅克尔憩室与男性之间存在正相关（P < 0.004），但B组患者与A1亚组患者的性别分布无差异（P < 0.6744）。黏膜的组织学类型（胃型）与憩室的临床表现（复杂性）有显著正相关（P < 0.001）。
无论患者年龄如何，意外发现的梅克尔憩室切除均可安全进行，并发症发生率低。
