异位胰腺的诊断与治疗(附21例报告)

Diagnosis and treatment of heterotopic pancreas: a report of 21 cases

目的 探讨异位胰腺的临床诊断与治疗。方法 对 1986～ 1998年收治 2 1例异位胰腺病人的临床表现、影像学检查及手术治疗和病理结果进行回顾性总结分析。结果 本组病例经手术治疗后症状无复发。临床表现和影像学检查对此症定性诊断困难 ,确诊需病理学检查。结论 对于有症状的异位胰腺手术切除疗效满意。

Objective To explore the diagnosis and treatment of heterotopic pancreas. Methods A total of 21 histologically confirmed cases of heterotopic pancreas were treated in our Department from 1986 to 1998. We retrospectively analyzed the major clinical symptoms, pathogenesis, diagnostic procedure, results of operation and pathological findings. Results Among all the patients, 9 presenting with severe symptoms were surgically treated and the prognosis was fine. Of the 9 patients, 5 had epigastric pain, 2 obstructive and 2 massive digestive hemorrhage. The other 12 asymptomatic cases were followed up for 1.8 to 12 years. It was difficult to diagnose the disease by clinical situation, observation and imaging examination and only pathological examination could provide the final diagnosis. Conclusions Cases of heterotopic pancreas with symptoms should be surgically managed and the results of resection is satisfactory. Long term follow up needs to be conducted for those asymptomatic cases.