小肠憩室并发症临床病理分析：附32例报告

目的总结小肠憩室几种常见并发症的临床病理特点和诊治经验。方法对32例小肠憩室并发症的临床病理进行回顾性总结与分析。结果不论小肠憩室出现何种并发症，手术切除的近、远期效果良好；腹部其他手术中意外发现的小肠憩室，倘若保留，则是存留隐患。小肠憩室常见并发症类型有：炎症、出血、结石、穿孔、肠梗阻等，憩室内容物的滞留、嵌入、摩擦或冗长型憩室粘连带的形成是引起常见并发症或临床症状的直接原因；几种常见并发症的发生机制与憩室壁的组织学特点、憩室粘膜异化组织类型、憩室形态和内容物的成分等因素有关。结论小肠憩室并发症是急腹症不常见的原因之一．手术切除是可靠有效的治疗方法。

Clinical treatment of small bowel diverticula: review of 32 cases]

OBJECTIVE AND METHOD: To retrospectively summarize the pathological features and management of small bowel diverticula of in 32 cases. RESULTS: Complications of small bowel diverticula were effectively treated surgically with good short-term and long-term clinical outcomes. The diverticulum found during the abdominal operation should be treated in time. The complications from the small intestine diverticulum included inflammation, bleeding, stone, perforation and bowel obstruction which arised from the stagnation, impaction, and friction of the contents in the diverticulum or from adhesion zone of long diveritculum. The complications were closely related to the histology of diverticular wall, the type of heterotopic tissue of diverticular mucosa, morphology of the diverticulum and contents in the diverticulum. CONCLUSION: The complications of small bowel diverticulum are the rare cause of acute abdomen which would be surgically treated effectively.