临床小儿外科杂志2017，Vol.16Issue(5)：439-443,5.DOI:10.3969/j.issn.1671-6353.2017.05.006
小儿胃部占位性病变的诊治分析
Diagnosis and treatment of stomach mass in children
潘静 1杨天佑 1杨纪亮 1胡超 1邹焱1
作者信息
- 1. 广州市妇女儿童医疗中心 广东省广州市,510000
- 折叠
摘要
Abstract
Objective To explore the diagnosis and treatment of stomach mass. Methods From January 2000 to April 2015, 13 patients with stomach mass were reviewed and analyzed. There were 9 boys and 4 girls with a median age of 2. 6 years old. All of them received preoperative examinations of ultrasound and computed tomography ( CT) . Also upper gastrointestinal radiography ( n=7 ) and gastroscopy ( n=6 ) were per.formed. There were laparotomy (n=8) and laparotomy after exploratory laparoscopy (n=4). One patient with tumor in anterior wall of stomach underwent laparoscopic resection. Except for 1 patient giving up treatment, the remainder were regularly followed up. Results Pathology comfirmed gastric duplication (n=5), immature teratoma (n=3), GISTs (n=1), gastric lipoma (n=1), liomyosarcoma (n=1) and myofibromatosis (n=1). The procedures included partial gastrecomy (n=10), laparoscopic lesion resection (n=1), biopsy alone (n=1) and Billroth I procedure (n=1). All of them had normal long-term heights and weights. There was no developmental difference. Conclusion Preoperative imaging examination is essential for diagnosing stomach mass. Surgical resection is the first choice and it also aids the differential diagnosis. There is no long-term difference of growth and development during follow-ups.关键词
胃/畸形/诊断/治疗/随访研究/生长发育Key words
Stomach/AB/Diagnosis/Therapy/Follow-Up Studies/Development引用本文复制引用
潘静,杨天佑,杨纪亮,胡超,邹焱..小儿胃部占位性病变的诊治分析[J].临床小儿外科杂志,2017,16(5):439-443,5.
