摘要
研究微探头超声内镜在儿童上消化道隆起性病变诊治中的临床应用价值。方法回顾性分析2018年1月至2021年6月济南市儿童医院消化科胃镜检查发现上消化道隆起病变并行微探头超声内镜检查患儿的临床资料,总结儿童上消化道隆起病变超声内镜特点,并与病理结果进行对比。结果共行超声内镜扫查患儿29例,其中异位胰腺12例(41.4%),Brunner腺增生4例(13.8%),囊肿3例(10.3%),十二指肠副乳3例(10.3%),胃腔外压迫2例(6.9%),淋巴瘤2例(6.9%),胃重复畸形1例(3.4%),间质瘤1例(3.4%),平滑肌瘤1例(3.4%)。根据超声微探头的检查结果,对其中15例隆起性病变行深挖活检、内镜下治疗并送病理,微探头超声诊断与病理诊断符合率为93.3%(14/15)。结论微探头超声内镜对儿童常见的上消化道隆起病变具有良好的诊断及鉴别诊断作用,并可指导临床行镜下治疗。该项检查应用于儿童安全可靠。
Objective To evaluate the clinical value of microprobe endoscopic ultrasonography in the diagnosis and treatment of children with protuberant lesions in the upper gastrointestinal tract.Methods A retrospective study was performed to analyze the clinical data of children who underwent microprobe endoscopic ultrasonography for treating protuberant lesions in the upper gastrointestinal tract in the Department of Gastroenterology,Jinan Children′s Hospital from January 2018 to June 2021.The endoscopic ultrasound characteristics of children with protuberant lesions in the upper gastrointestinal tract were summarized and compared with the pathological results.Results Microprobe endoscopic ultrasonography was performed in 29 children.Ectopic pancreas was found in 12 cases(41.4%),Brunner gland hyperplasia in 4 cases(13.8%),cysts in 3 cases(10.3%),duodenum accessory nipple in 3 cases(10.3%),extragastric compression in 2 cases(6.9%),lymphoma in 2 cases(6.9%),gastric duplication malformation in 1 case(3.4%),stromal tumor in 1 case(3.4%)and leiomyoma in 1 case(3.4%).According to the results of microprobe endoscopic ultrasonography,15 cases with protuberant lesions were treated by deep biopsy and handled under endoscope.The tissue was checked by pathological examination.The microprobe endoscopic ultrasonography diagnosis of 14 cases were in accordance with their pathological diagnosis[93.3%(14/15)].Conclusions Microprobe endoscopic ultrasonography can effectively diagnose and differentiate protuberant lesions in the upper gastroi-ntestinal tract of children,so it can be used to guide the clinical treatment under endoscope.Microprobe endoscopic ultrasonography is a safe and reliable treatment for children.
作者
陈红苓
徐俊杰
魏绪霞
符晓莉
薛宁
Chen Hongling;Xu Junjie;Wei Xuxia;Fu Xiaoli;Xue Ning(Department of Gastroenterology,Jinan Children′s Hospital/Children′s Hospital Affiliated to Shandong University,Ji′nan 250022,China)
出处
《中华实用儿科临床杂志》
CAS
CSCD
北大核心
2022年第23期1803-1806,共4页
Chinese Journal of Applied Clinical Pediatrics
关键词
儿童
微探头超声内镜
上消化道隆起病变
Child
Microprobe endoscopic ultrasonography
Protuberant lesions in the upper gastrointestinal tract