A comparative study of radionuclide imaging technique diagnosis and surgical results for Meckel's diverticulum in children
10.3969/j.issn.1000-3606.2014.09.021
- VernacularTitle:儿童梅克尔憩室核素显像诊断与手术结果对比分析
- Author:
Shuanghong ZHANG
;
Shenghua WAN
;
Yanxing GUAN
;
Qingqiang DENG
;
Wenping YANG
;
Qingjie CHEN
- Publication Type:Journal Article
- Keywords:
child;
Meckel’s diverticulum;
99mTcO4-;
radionuclide imaging technique
- From:
Journal of Clinical Pediatrics
2014;(9):885-887
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the accuracy of 99mTcO4- gastrointestinal imaging in the diagnosis of Meckel’s diverticulum in children. Methods The clinical data of 99mTcO4-imaging, surgery and pathological results of 95 children with gastrointestinal bleeding were retrospectively analyzed. Results Forty-four cases of 95 patients had positive ifnding of 99mTcO4-ectopic gastric mucous membrane imaging, and positive rate was 46.3%. In the positve cases 52.3%cases (23/44) were diagnosed of intestinal heterotopic gastric mucosa, 47.7%cases (21/44) were suspected of intestinal heterotopic gastric mucosa. The sex ratio (males to females) was 7.8:1. Thirty-seven positive cases underwent operation;among them, 35 cases were found to have Meckel’s diverticulum and 1 case had duplication of the digestive tract;Diverticulum lesion was not found in 1 case. The samples of 35 cases diagnosed surgically of Meckel’s diverticulum were examined by pathologic histology. All 35 cases were conifrmed as Meckel’s diverticulum and ectopic gastric mucosa epithelium, including 2 cases with ulcer formation, 1 case with small patches of pancreatic tissue, 1 case with ileocecal junction of suppurative enteritis and 1 case with chronic appendicitis. Conclusions 99mTcO4-radionuclide imaging technique is of high value for the non-invasive diagnosis of children’s Meckel’s diverticulum.
