十二指肠憩室诊断及治疗  

Diagnosis and treatment of duodenal diverticulum

作　　者：倪春[1] 张才全[2] 李建[2] 胡淞[2] 

机构地区：[1]重钢总医院普外科,重庆400080 [2]重庆医科大学附属第一医院胃肠外科,重庆400016

出　　处：《重庆医科大学学报》2010年第2期271-273,共3页Journal of Chongqing Medical University

摘　　要：目的:探讨十二指肠憩室的临床特点及延诊误诊原因。方法:对43例我院1998年9月～2008年9月间收治的有症状十二指肠憩室患者的临床资料进行回顾性分析。结果:43例患者入院均未考虑到十二指肠憩室,初诊都为常见的消化道疾病,经进一步的上消化道钡餐、十二指肠镜或ERCP检查才获得确诊;32例行非手术治疗,6例行十二指肠转流憩室旷置,1例行憩室切除术,2例行憩室内翻缝合术,2例行Oddi's括约肌切开成形术,所有患者症状均获得缓解或治愈。结论:十二指肠憩室症状不典型,临床医师常对此症缺乏警惕性,容易延诊误诊。对大部分有症状的十二指肠憩室患者,内科治疗可缓解或控制症状,对症状顽固或合并有严重并发症则应选择手术治疗。Objective： To explore the clinical feature of duodenal diverticulum and the reason for delayed-diagnosis or misdiagnosis of this disease. Methods： The clinical data of 43 duodenal diverticulum patients admitted to our hospital between 1998.9 to 2008.9 were reviewed retrospectively. Results： All 43 patients were not considered to have duodenal diverticulum when admitted to hospital, The preliminanry diagnosis was common digestive tract disease. Final diagnosis was established only after the examination of barium meal, duodenoscopy, or ERCP examination. 32 patients received non-operative treatment. 6 received diverticulum remaining and duodenal bypass operation. 1 received diverticulectomy. 2 received inverting suture,and 2 received Oddi＇s spincterplasty. The therapeutic effects were excellent in all patients. Conclusion： The duodenal diverticulum was not in clinic and the absence of vigilance in doctors lead to delayed-diagnosis or misdiagnosis of this disease frequently. Medical treatment can relieve or cure the complaints of most duodenal diverticulum patients. Operation is the best choice for patiences with indolent symptom or serious complication.

关 键 词：十二指肠憩室 临床特点 误诊 

分 类 号：R574.51[医药卫生—消化系统]