胃小弯支气管源性囊肿的诊断与治疗

Diagnosis and treatment of gastric bronchogenic cyst attaching to lesser curvature

胃支气管源性囊肿(GBCs)临床罕见,临床表现不典型,术前影像学检查确诊存在难度,术后组织病理学检查是诊断金标准。GBCs治疗方法:内镜超声引导下穿刺抽液+黏膜下切除术仅试用于小体积腔内型GBCs,腔外型GBCs解剖位置深,体积较大,且极易附着于大血管上,首选腹腔镜手术切除。笔者介绍1例胃小弯支气管源性囊肿的诊断与治疗过程,旨在为该病的临床诊断提供参考。

Gastric bronchogenic cysts(GBCs)is uncommon with atypical clinical features.It is difficult to diagnose by preoperative imaging examinations.Therefore,postoperative histopatho-logical examination is regarded as the golden bacteria in ultimate diagnosis.The treatment of GBCs:ultrasound-guided fine needle aspiration and endoscopic mucosal resection is only used for small GBCs with intra-cavity growth pattern.However,GBCs with extra-cavity growth pattern is featured with deeply anatomical position,large size,and prone on attaching to vital blood vessels and organs,which makes laparoscopic resection is the first choice in treatment.The authors introduce the diagnosis and treatment of a case of GBCs attaching to lesser curvature,in order to provide references for clinical diagnosis of GBCs.