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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Meckel?s Diverticulum and PatentVitello-Intestinal Duct in Children: A Reviewof 11 Years of Experience with 46 Cases
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Meckel?s Diverticulum and PatentVitello-Intestinal Duct in Children: A Reviewof 11 Years of Experience with 46 Cases

机译：儿童梅克尔憩室和Vitello专利肠管：回顾11年的经验与46例病例。

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Aim: The aim of this study was to review the management of symptomatic Meckel?s diverticulum and patent vitello-intestinal duct (PVID) in children.Patients and Methods: This retrospective study included 46 children (39 boys and 7 girls) who underwent exploratory laparotomy for the management of symptomatic Meckel?s diverticulum and PVID between Jan 1, 2000 to Dec 31, 2010.Results: During last 11 years, 46 (39 boys and 7 girls) children were treated for symptomatic Meckel?s diverticulum and PVID under 12 years: 23 (50%) were infants, 5 (10.86%) were 1 to 5 years and 18 (39.13%) were 6 to 12 years of age. Majority n=28 (60.86%) presented with intestinal obstruction (including 5 cases of intussusception and 6 cases of PVID), followed by n=6 (13.04%) as perforation peritonitis, n=4 (8.69%) as lower gastrointestinal bleeding / melena, n=4 (8.69%) as umbilical discharge (PVID) and n=4 (8.69%) as incidental findings duringlaparotomy for others. Findings at laparotomy in order of frequency were: Meckel?s diverticulum with gangrenous bowel (n = 13), PVID (n=10) 4 had prolapsed ileum and 3 of them were gangrenous, Meckel?s diverticulum with bands (n=9), perforated Meckel?s diverticulum (n=6), diverticulitis / bleeding (n=4) and normal Meckel?s diverticulum / incidental findings (n=4). The surgical procedures done in order of frequency were: segmental resection of ileum containing Meckel?s diverticulum and ileo-ileal anastomosis n=25 (54.34%), diverticulectomy / wedge resection n=19 (41.30%), segmental resection and ileo-ascending anastomosis n=1 (2.17%) and segmental resection with an ileostomy n=1 (2.17%). The mortality following laparotomy done for Meckel?s and PVID was n= 4 (8.69%).Conclusions: Symptomatic Meckel?s diverticulum and PVID is also an important cause of acute abdomen / intestinal obstruction in infants and children and delay in seeking treatment is not only associated with morbidity but prone to mortality as well.
机译：目的：本研究的目的是回顾儿童症状性梅克尔憩室和玻璃体肠壁专利（PVID）的处理。患者和方法：这项回顾性研究包括46例接受探索性研究的儿童（39例男孩和7例女孩）。在2000年1月1日至2010年12月31日期间进行剖腹手术以治疗有症状的Meckel憩室和PVID。结果：在过去的11年中，对46例（39名男孩和7名女孩）儿童进行了有症状的Meckel憩室和PVID的治疗。 12岁：23岁（50％）为婴儿，5岁（10.86％）为1至5岁，18岁（39.13％）为6至12岁。多数n = 28（60.86％）表现为肠梗阻（包括5例肠套叠和6例PVID），其次是n = 6（13.04％）为穿孔性腹膜炎，n = 4（8.69％）为下消化道出血/ melena，对于其他人，在开腹手术中n = 4（8.69％）作为脐带排出（PVID），n = 4（8.69％）作为偶然发现。开腹手术发现的频率依次为：Meckel憩室伴坏疽肠（n = 13），PVID（n = 10）4个回肠脱垂，其中3个为坏疽，Meckel憩室带（n = 9）。 ，穿孔的Meckel憩室（n = 6），憩室炎/出血（n = 4）和正常的Meckel憩室/偶然发现（n = 4）。按频率顺序进行的手术程序为：分段切除包含Meckel憩室和回肠回肠吻合术的回肠n = 25（54.34％），憩室切除/楔形切除术n = 19（41.30％），分段切除术和回肠升高吻合术n = 1（2.17％）和分段切除术，回肠造口术n = 1（2.17％）。剖腹手术后Meckel和PVID的死亡率为n = 4（8.69％）。结论：有症状的Meckel憩室和PVID也是婴儿和儿童急性腹部/肠梗阻的重要原因，因此寻求治疗的延迟是不仅与发病率有关，而且也容易导致死亡。

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