[1]杨庆堂,李宇洲,姚干,等.腹腔镜结合核素显像在小儿消化道出血诊治中的应用[J].中国微创外科杂志,2006,06(12):960-961.
　Yang Qingtang,Li Yuzhou,Yao Gan,et al.Laparoscopy combined w ith radionuclide imaging in the diagnosis and treatment of gastrointestinal tract hemorrhage in children[J].Chinese Journal of Minimally Invasive Surgery,2006,06(12):960-961.
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腹腔镜结合核素显像在小儿消化道出血诊治中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
06
期数:
2006年12期
页码:
960-961
栏目:
出版日期:
2006-12-30

文章信息/Info

Title:
Laparoscopy combined w ith radionuclide imaging in the diagnosis and treatment of gastrointestinal tract hemorrhage in children
作者:
杨庆堂; 李宇洲; 姚干; 梁健升; 张庆峰
广东省佛山市第一人民医院小儿外科,佛山,528000
Author(s):
Yang Qingtang;  Li Yuzhou;  Yao Gan;  et al.
Department of Pediatric Surgery, Foshan First People’s Hospital, Foshan 528000, China
关键词:
消化道出血; 放射性核素显像; 儿童; 腹腔镜
Keywords:
Gastrointestinal tracthemorrhage; 　Radionuclide imaging; 　Child; 　Laparoscopy
分类号:
R726.1;R725.7;R445.5
文献标志码:
A
摘要:
目的 探讨腹腔镜结合核素显像在小儿消化道出血,特别是Meckel憩室、肠重复畸形诊断和治疗中的应用.方法对我院1998年12月～2005年12月收治22例反复便血或黑便患儿进行99m锝酸盐(99mTcO4-)显像检查,均行腹腔镜探查术.结果 22例中18例99mTcO4-显像阳性,4例99mTcO4-显像阴性.99mTcO4-显像阳性的患儿均经腹腔镜探查及病理证实,其中14例Meckel憩室,4例小肠重复畸形;4例99mTcO4-显像阴性患儿行腹腔镜探查术,3例未见器质性病变,1例经手术及病理证实为Meckel憩室.结论 核素显像是诊断小儿消化道出血的重要手段,可为手术治疗提供诊断依据.腹腔镜结合核素显像对小儿消化道出血不仅具有诊断及治疗价值,而且减少开腹探查的盲目性及创伤性.
Abstract:
Objective　To explore the clinical value of laparoscopy combined with radionuclide imaging in the diagnosis and treatmentof pediatric gastrointestinal hemorrhage, especially forMeckel’s diverticulum and double intestine.　M ethods　99mTc- pertechnetate abdominal scintigraphywas performed in 22 childrenwith a history of recurrenthemafecia ormelena in this hospital from December1998 to December 2005. All the children were given a laparoscopic exploration.　Results　Among the 22 patients, scintigraphy showed positive findings in 18 patients and negative, 4 patients. The positive patientswere all confirmatively diagnosed by laparoscopic surgery and pathological examinations, includingMeckel’s diverticulum in 14 patients and duplications ofalimentary tract in 4 patients. In the other4 patientswith negative results, no organic pathologic changeswas identified by laparoscopy in 3 patients and Meckel’s diverticulum was found after laparoscopic exploration in 1 patient.　Conclusions　Radionuclide imaging is an important method in the diagnosis of gastrointestinal tract hemorrhage in children and provides scientific basis for surgical intervention. The combination of laparoscopy and radionuclide imaging not only has values in the diagnosis and treatment of pediatric gastrointestinal hemorrhage, but alsominimizes the blindness and trauma of exploratory laparotomy.

参考文献/References:

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更新日期/Last Update: 2014-03-03