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美克耳憩室导致消化道出血,每需手术治疗,但术前能为X线检查所确诊者为数不多,成年患者更易于漏诊或误诊。本文报道应用插管法小肠钡剂灌肠发现本病10例,均经手术治疗而得到病理证实。本文讨论时提出:美克耳憩室缺乏特异症状和临床表现,应用插管法作小肠钡剂灌肠,易于显示憩室之囊袋状充盈像。偶尔美克耳憩室可出现多种并发症,憩室之典型X线征象常被隐匿,而其X线表现呈多样化。本病X线诊断需与下列疾病相鉴别:(1)回肠重复畸形;(2)回肠炎性病变;(3)局限性回肠扩张症。作者通过病例分析指出相应鉴别要点。
Meckering diverticulum lead to gastrointestinal bleeding, surgery required for each, but the preoperative X-ray examination can be identified as one of the few, adult patients are more likely to miss or misdiagnosis. This article reports the application of intubation small intestine barium enema found 10 cases of this disease, were surgically treated and confirmed by pathology. This article discusses the proposed: Mycrick’s diverticulum lacks specific symptoms and clinical manifestations, the application of intubation for the small intestine barium enema, easy to show diverticulostage filling like. Occasionally, many complications may occur in Meckel’s diverticulum. Typical X-ray signs of diverticulum are often hidden, and their X-ray manifestations are diversified. X-ray diagnosis of the disease to be identified with the following diseases: (1) ileum repeat deformities; (2) ileitis lesions; (3) limited ileum dilatation. The author points out the corresponding identification points through case analysis.