内镜超声对54例异位胰腺的诊治分析  

Endoscopic ultrasongraphy in diagnosis and treatment of ectopic pancreas:report of 54 cases

作　　者：张方信[1] 高娟[1] 汪泳[1] 贺月[1] 

机构地区：[1]兰州军区兰州总医院消化内科,甘肃兰州730050

出　　处：《生物医学工程与临床》2010年第3期222-224,F0002,共4页Biomedical Engineering and Clinical Medicine

摘　　要：目的探讨内镜超声(EUS)对异位胰腺的诊断治疗意义。方法收集2005年6月至2009年5月经普通胃镜及EUS共检出的54例异位胰腺患者,其中男性28例,女性26例;年龄19～76岁,中位年龄49岁。回顾性分析异位胰腺的EUS图像特征及随访观察。结果在EUS下异位胰腺均表现为隆起型病变,可发生于胃壁任何一层或多层,以黏膜下层多见,呈低、中或混合回声。51例随访观察无特异性症状,其中33例内镜复查病变大小无改变。9例(≥15mm)局限于黏膜下层以内行内镜下切除者术后均无并发症。结论 EUS对异位胰腺有重要的诊断价值且内镜下治疗安全有效;异位胰腺恶变罕见,对于无症状且直径较小的异位胰腺可长期随访观察。Objective To evaluate the value of endoscopic ultrasonography（EUS） in the diagnosis and treatment of ectopic pancreas.Methods Fifty-four patients with ectopic pancreas（male 28, female 26;aged 19-76 years, median age 49 years） detected by gastroscopic and EUS from June 2005 to May 2009 were enrolled.The EUS images and follow-up study of 54 ectopic pancreas cases were retrospectively analyzed.Results The appearances of ectopic pancreas were showed elevated lesions and located in one or more gastric lamellae, most of them in submucosa showed low, approximate and mixed echoes.Fifty-one cases with non-specific symptoms in follow-up study, 33 lesions size were no changed with endoscopic reviewing.Nine cases（≥15 mm） located within submucosa performed operation by endoscopic and no postoperative complications occurred.Conclusion The EUS is effective approach for diagnosis and treatment in ectopic pancreas, the operation under endoscopic is same and effective;The malignant transformation in ectopic pancreas is rare, thus long-term follow-up is needed for the patients with small and asymptomatic ectopic pancreas.

关 键 词：异位胰腺 超声内镜 超声检查 

分 类 号：R657.5[医药卫生—外科学]