内镜下开窗治疗儿童十二指肠重复畸形1例并文献复习  

Endoscopic fenestration for duodenal duplication in children:a case report and literature review

作　　者：梁德锋 耿岚岚 任路 陈佩瑜 LIANG Defeng;GENG Lanlan;REN Lu;CHEN Peiyu(Department of Gastroenterology,Guangzhou Women and Children’s Medical Center,Guangzhou 510120,Guangdong,China)

机构地区：[1]广州市妇女儿童医疗中心消化内科,广东广州510120

出　　处：《临床儿科杂志》2021年第7期495-497,共3页Journal of Clinical Pediatrics

摘　　要：目的探讨儿童十二指肠重复畸形的临床表现及内镜下治疗方案。方法回顾分析1例十二指肠重复畸形患儿的临床资料。结果13岁男性患儿,反复腹痛4年。血淀粉酶、脂肪酶均升高;腹部CT可见囊性包块。确诊为十二指肠重复畸形。经过内镜下开窗治疗,患儿腹痛消失,随访半年切口愈合良好。结论十二指肠重复畸形是罕见的消化道畸形,在一定条件下,内镜下开窗治疗可作为首选治疗方案。Objective To explore the clinical manifestations and endoscopic treatment of duodenal duplication in children.Method The clinical data of duodenal duplication in a child was analyzed retrospectively.Result A 13-year-old boy presented with recurrent abdominal pain for 4 years.Blood amylase and lipase were elevated,and abdominal CT showed cystic mass,so the child was diagnosed with duodenal duplication.After endoscopic fenestration treatment,the child’s abdominal pain disappeared,and the incision healed well at the six-month follow-up.Conclusion Duodenal duplication is a rare malformation of the digestive tract.Under certain conditions,endoscopic fenestration can be the first choice for treatment.

关 键 词：十二指肠重复畸形 内镜治疗 儿童 

分 类 号：R726.5[医药卫生—儿科]