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梅克尔憩室:仍是一个难题?

Meckel's diverticulum: a continuing dilemma?

作者信息

Kashi S H, Lodge J P

机构信息

Academic Unit of Surgery, St James's University Hospital, Leeds, UK.

出版信息

J R Coll Surg Edinb. 1995 Dec;40(6):392-4.

PMID:8583444
Abstract

Forty-three cases of Meckel's diverticulum (MD) encountered in an academic department of surgery over a 15-year period were reviewed. All of the patients and their general practitioners were contacted and long-term follow-up was obtained in 36 cases (85%). In 21 of 35 diverticulectomies, MD was an incidental finding. An overall complication rate of 26% was recorded over an average follow-up period of 8 years. In the asymptomatic group this rose to 30%. None of the eight cases in whom the diverticulum was not resected has developed early or late complications. Our findings suggest that an incidentally discovered Meckel's diverticulum should be left in situ.

摘要

回顾了某外科教研室在15年期间收治的43例梅克尔憩室(MD)患者。联系了所有患者及其全科医生,36例(85%)获得了长期随访。在35例憩室切除术中,21例MD是偶然发现的。平均随访8年期间,总体并发症发生率为26%。无症状组这一比例升至30%。8例未切除憩室的患者均未出现早期或晚期并发症。我们的研究结果表明,偶然发现的梅克尔憩室应保留原位。

相似文献

1
Meckel's diverticulum: a continuing dilemma?梅克尔憩室:仍是一个难题?
J R Coll Surg Edinb. 1995 Dec;40(6):392-4.
2
Abdominal disorders arising from 71 Meckel's diverticulum.源于71例梅克尔憩室的腹部疾病。
Ann Chir Gynaecol. 2000;89(4):281-4.
3
Diverticulectomy is inadequate treatment for short Meckel's diverticulum with heterotopic mucosa.憩室切除术对于伴有异位黏膜的短梅克尔憩室而言是不充分的治疗方法。
ANZ J Surg. 2004 Oct;74(10):869-72. doi: 10.1111/j.1445-1433.2004.03191.x.
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High incidence of symptomatic Meckel's diverticulum in patients less than fifty years of age: an indication for resection.50岁以下患者中症状性梅克尔憩室的高发病率:手术切除的指征。
Am Surg. 2007 Mar;73(3):271-5.
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[Meckel's diverticulum in childhood. The authors' own experience].[儿童期梅克尔憩室。作者自身经验]
Minerva Chir. 1997 Dec;52(12):1461-5.
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Meckel's diverticulum: a ten-year experience.梅克尔憩室:十年经验
Am Surg. 1997 Apr;63(4):354-5.
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Complications and management of Meckel's diverticulum--a review.梅克尔憩室的并发症与处理——综述
Eur J Surg. 1999 Jul;165(7):674-8. doi: 10.1080/11024159950189735.
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Laparoscopic management of Meckel's diverticulum in children.小儿梅克尔憩室的腹腔镜治疗
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Meckel's diverticulum in the pediatric surgical population.儿科手术人群中的梅克尔憩室
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Is incidental Meckel's diverticulum resected safely?偶然发现的梅克尔憩室能安全切除吗?
N Z Med J. 2008 Sep 22;121(1282):39-44.

引用本文的文献

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A Strangulated Meckel's Diverticulum in an Inguinal Hernia: A Case Report and Literature Review.腹股沟疝合并绞窄性梅克尔憩室:一例报告及文献复习
Int Med Case Rep J. 2021 Sep 2;14:605-609. doi: 10.2147/IMCRJ.S325390. eCollection 2021.
2
The significance of Meckel's diverticulum in appendicitis--a retrospective analysis of 233 cases.梅克尔憩室在阑尾炎中的意义——233例回顾性分析
World J Surg. 2005 Apr;29(4):455-8. doi: 10.1007/s00268-004-7615-x.