异位胰腺的诊断及治疗  

The diagnosis and treatment of ectopic pancreas

作　　者：兰忠民[1] 张建伟[1] 车旭[1] 王成锋[1] 

机构地区：[1]北京协和医学院中国医学科学院肿瘤医院腹部外科,北京100021

出　　处：《中国肿瘤临床与康复》2014年第12期1430-1432,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨消化道异位胰腺的临床特点及治疗价值。方法回顾性分析1990年至20l4年间经病理证实的39例消化道异位胰腺患者的临床资料,分析其临床特点及诊治情况。结果39例患者中,有临床症状者19例,病灶位于胃17例,位于十二指肠8例,位于空肠11例,位于回肠3例。其中20例为近5年检出。39例患者中,仅8例术前获得病理确诊,其余31例均为术后病理确诊。11例行内镜下切除,28例行手术切除,手术方式和手术范围根据病变位置和大小而定。所有患者无围手术期死亡,术后发生消化道出血2例,吻合口漏1例。随访6~218个月无患者出现复发或转移。结论消化道异位胰腺临床表现无特异性,胃镜及超声内镜检查对术前明确诊断有重要价值。治疗方式可根据病变情况选择内镜下切除或手术切除,完整切除病灶的患者预后良好。Objective To investigate the clinical features and treatment of patients with heterotopic pancreas. Methods Thirty-nine patients of ectopic pancreas were pathologically confirmed in Department of Abdominal Surgery, Cancer Institute ＆ Hospital, Chinese Academy of Medical Sciences from 1990 to 2014. Clinical data of these patients were retrospective collected and analyzed. Results There were nine- teen patients with various clinical symptoms. Seventeen cases with heterotopic pancreas located in the stomach,8 in duodenum, 11 in jejunum and 3 in ileum, and 20 cases were diagnosed in recent 5 years. Eight ca- ses were diagnosed pathologically before surgery, the rest 31 cases were confirmed by postoperative patholo- gy. Eleven patients received endoscopic resection ; the other 28 cases received surgical resection. The surgi- cal approach and range were determined according to the location and size of tumors. There was no perioper- ative mortality among these patients. Two patients had gastrointestinal hemorrhage and one had anastomotic leakage. No recurrence or metastasis happened in the following-up range from 6 to 216 months. Conclusions The clinical symptoms of gastrointestinal ectopic pancreas were no specificity. Endoscopy and ultrasound endoscopy examination had significant value for preoperative diagnosis. Endoscopic or surgical resec- tion are available according to the status of lesions. The prognosis of patients with curative resection was good.

关 键 词：异位胰腺 胃肠道 诊断 治疗 

分 类 号：R657.5[医药卫生—外科学]