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目的总结急性阑尾炎合并美克尔憩室的诊治特点。方法对13例急性阑尾炎合并美克尔憩室的病例进行回顾性分析。所有病例的临床初步诊断基本一致,其中9例为急性单纯性阑尾炎、3例为急性化脓性阑尾炎,1例为急性坏疽性阑尾炎。结果 13例均经手术探查并最终证实为急性阑尾炎合并美克尔憩室并进行治疗,其中8例为单纯美克尔憩室,4例合并美克尔憩室炎,1例合并急性美克尔憩室炎伴穿孔。13例全部行阑尾及憩室切除术,全部治愈。结论美克尔憩室是常见的先天性消化道畸形,术前诊断困难。而急性阑尾炎作为外科急腹症中最常见的病因,手术是首选治疗方法,但是阑尾炎手术中应常规探查末端回肠至少150～200cm,确定有无遗漏美克尔憩室,以免漏诊造成严重后果。
Objective To summarize the diagnosis and treatment of acute appendicitis combined with merkel diverticulum. Methods A retrospective analysis was performed on 13 cases of acute appendicitis combined with merkel diverticulum. All cases of clinical preliminary diagnosis is basically the same, of which 9 cases of acute simple appendicitis, 3 cases of acute suppurative appendicitis, 1 case of acute gangrenous appendicitis. Results All the 13 cases were surgically probed and finally proved to be acute appendicitis with merkel diverticulum. Among them, 8 cases were simple merkel diverticulum, 4 cases were merged with merkel diverticulitis and 1 case was complicated with acute merkel diverticulitis With perforation. All 13 cases of appendectomy and diverticulum resection, all cured. Conclusion Meckel diverticulum is a common congenital gastrointestinal malformations, preoperative diagnosis is difficult. Acute appendicitis as the most common cause of surgical acute abdomen, surgery is the preferred method of treatment, but appendicitis surgery routine exploration of the terminal ileum at least 150 ~ 200cm, to determine whether there is missing merkel diverticulum in order to avoid misdiagnosis caused serious consequences.