儿童十二指肠重复畸形的诊断与治疗  

Diagnosis and treatment of duodenal duplication in children

作　　者：向强兴 李勇[1] 刘登辉 黎明[1] 唐湘莲 Xiang Qiangxing;Li Yong;Liu Denghui;Li Ming;Tang Xianglian(Department of General Surgery,the Affiliated Children's Hospital of Xiangya School of Medicine,Central South University(Hu'nan Children's Hospital),Changsha 410007,China)

机构地区：[1]中南大学湘雅医学院附属儿童医院(湖南省儿童医院)普外科,长沙410007

出　　处：《中华普通外科杂志》2025年第1期47-50,共4页Chinese Journal of General Surgery

基　　金：湖南省儿童实体瘤临床医学研究中心项目(2023SK4058);湖南省临床医疗技术创新引导项目(2021SK50510)。

摘　　要：目的探讨儿童十二指肠重复畸形临床特点、诊断及治疗。方法回顾性分析2017年1月至2023年6月就诊于湖南省儿童医院普外科并经手术治疗,术后病理诊断为十二指肠重复畸形的8例患儿,收集患儿的临床特征、影像学检查、病理学诊断、外科治疗及随访情况等。结果本组8例患儿中囊肿型6例,管状型2例,均经手术治疗,5例行十二指肠重复畸形切除术,3例行十二指肠重复畸形开窗引流+黏膜剥除术。术后病理诊断均提示内衬肠黏膜,并可见平滑肌组织,其中1例存在异位胰腺组织,2例存在异位胃黏膜组织。术后均获随访10~48个月,随访期间均无腹痛、呕吐、腹胀等症状,患儿均恢复良好。结论十二指肠重复畸形无特异性临床表现,明确诊断依靠病理检查。十二指肠重复畸形切除或开窗引流+黏膜剥除术为首选治疗方式,预后良好。Objective To investigate the clinical characteristics,diagnosis and treatment of duodenal duplication in children.Methods From Jan 2017 to Jun 2023,clinical data of 8 child patients complaining nonspecific intraabdominal symptoms at Department of General Surgery,Hu'nan Children's Hospital undering surgery were retrospectively analyzed.Results Five patients had duodenal duplication resected,3 patients underwent fenestration and mucous membraine removel.Postoperative pathology showed cyst type in 6 cases,tubular type in 2 cases,all with lining of intestinal mucosa,and smooth muscle,including 1 case with ectopic pancreas tissues,2 cases with ectopic gastric mucosa tissues.Postoperative follow-up were 10-48 months.During the follow-up period,there was no abdominal pain,vomiting,abdominal distension,and other symptoms,and the children recovered well.Conclusion sThe clinical manifestations of duodenal duplication are no specific.Definite diagnosis depends on pathology.Duodenal duplication resection or fenestration plus mucosal stripping is the treatment of choice.The prognosis is good.

关 键 词：消化系统畸形 十二指肠 儿童 

分 类 号：R725.7[医药卫生—儿科]