小儿消化道重复畸形的临床及影像学特征分析  

Clinical and imaging characteristics of alimentary tract duplication of children

作　　者：焦慧[1] 张丽娟[2] 王刚[2] 班永光[1] 栾钦花[1] 徐卓东[1] 滕剑波[1] JIAO Hui;ZHANG Lijuan;WANG Gang;BAN Yongguang;LUAN Qinhua;XU Zhuodong;TENG Jianbo(Shandong Medical Imaging Research Institute Affiliated to Shandong University,Jinan 250021,P.R.China;Department of Pediatric Surgery,Shandong Provincial Hospital Affiliated to Shandong University,Jinan 250021,P.R.China)

机构地区：[1]山东大学附属山东省医学影像学研究所,山东济南250021 [2]山东大学附属省立医院小儿外科,山东济南250021

出　　处：《医学影像学杂志》2020年第2期242-245,共4页Journal of Medical Imaging

基　　金：山东省医药卫生科技发展计划项目(编号:2018WS224)。

摘　　要：目的探讨小儿消化道重复畸形的临床及影像学特征。方法回顾性分析28例经手术病理证实的小儿消化道重复畸形的临床及影像学资料,术前20例行CT检查,27例行超声检查,7例行X线检查,3例行MRI检查。结果28例消化道重复畸形患儿中,位于食管3例,十二指肠2例,空肠2例,回肠14例,回盲部5例,空回肠交界处2例。术后分型为肠外型21例,肠内型4例,胸内型3例,影像学表现为多囊型3例,单囊型25例。与病理对照,CT及超声检查的诊断符合率分别为65%(13/20)和70%(19/27)。结论小儿消化道重复畸形临床及影像学特征有一定特异性,综合应用各种影像检查对提高本病的术前诊断率具有重要价值。Objective To explore the clinical and imaging characteristics of alimentary tract duplication of children.Methods Clinical and imaging findings of 28 cases of alimentary tract duplication of children confirmed by operation and pathology were analyzed retrospectively.20 cases were performed with CT examination,27 cases with ultrasond,7 cases with X-ray,and 3 cases were performed with MRI.Results Among 28 cases of alimentary tract duplication,the duplication located at esophagus(n=3),duodenum(n=2),Jejunum(n=2),ileum(n=14),ileocecus(n=5),Jejunumileum junction(n=2),respectively.Sugical results showed 21 cases of extraintestinal cyst,4 cases of intraintestinal cyst and 3 cases of intrathoracic cyst.Imaging findings demonstrated 3 cases of multiple cystic type and 25 cases of single cystic type.Compared with pathology,the diagnostic accuracy of CT and ultrasond was 65%(13/20)and 70%(19/27),respectively.Conclusion There were some special clinical and imaging characteristics in alimentary tract duplication of children.Application of various imaging methods is of great value for preoperative diagnosis.

关 键 词：消化道重复畸形 体层摄影术 X线计算机 超声诊断 

分 类 号：R725.7[医药卫生—儿科] R814.42[医药卫生—临床医学]