胃镜及腹腔镜技术对小儿消化道异位胰腺的诊疗意义  

SIGNIFICANCE OF GASTROSCOPY AND LAPAROSCOPY IN THE DIAGNOSIS AND TREATMENT OF CHILDREN WITH HETEROTOPIC PANCREAS

作　　者：耿娜[1] 李索林[1] 李英超[1] 时保军[1] 马亚贞[1] 

机构地区：[1]河北医科大学第二医院小儿外科,河北石家庄050000

出　　处：《河北医科大学学报》2011年第6期652-654,共3页Journal of Hebei Medical University

基　　金：国家十一五科技支撑项目(2006BAI05A00)

摘　　要：目的探讨小儿消化道异位胰腺的临床特点及内镜技术对该疾病的诊断与治疗意义。方法对1998—2010年收治的11例病理确诊的异位胰腺患儿的临床表现、诊断方法、病变部位分布及治疗措施进行回顾性分析。结果 11例患儿表现为腹部包块1例,消化道出血5例,脐肠瘘1例,上腹痛3例,行其他手术探查发现1例。分布部位,十二指肠1例,胃内2例,空肠3例,回肠5例,其中并发肠套叠1例。其中10例患儿行手术治疗,1例随访观察,临床效果满意。结论小儿消化道异位胰腺多以消化道出血,腹痛或肠套叠等为主要表现,缺乏特征性的临床表现和有效的检查手段,内镜及腔镜技术在临床的日益广泛应用提高了该病的诊断治疗率。Objective To investigate the clinical features of children patients with heterotopic pancreas and to discuss the significance of endoscopy in the diagnosis and treatment of heterotopic pancreas as well. Methods The clinical manifestations, diagnostic methods, lesion distribution and treatments of 11 cases heterotopic pancreas from 1998 to 2010 were retrospectively analysed. Results The clinical manifestations of the 11 patients included：abdominal mass 1 case; gastrointestinal bleeding 5 cases, umbilical fistula 1 cases, upper abdominal pain 3cases, and one was found by surgical exploration. The distribution of heterotopic pancreas shows that 1 case was found in duodenum,2 cases in stomach,3 cases in jejunum,5 cases in ileum, of which one case was complicated with intussusception. Ten of the patients were treated by surgery and the clinical results were satisfied. Conclusion The children patients with heterotopic pancreas mostly show bleeding, abdominal pain or intussusception as the complications, so it is lack of characteristic clinical manifestations and effective means of inspection. The endoscopic technology that widely used in the clinical application raised the rate of diagnosis and treatment.

关 键 词：胰腺 胃镜检查 腹腔镜检查 

分 类 号：R657.53[医药卫生—外科学]