CAJ | 학술논문

目的探讨深在性囊性胃炎(gastritis cystica profunda,GCP)的临床特点并总结治疗经验.方法回顾性分析2006年1月至2013年1月郑州大学第一附属医院和第二附属医院外科收治的15例GCP患者的临床资料.结果本组15例GCP患者中男9例,女6例,平均年龄为(55±10)岁.临床表现不具有特征性,以上腹部疼痛不适、急性上消化道出血、消化不良伴体重减轻等症状为主.电子胃镜、CT或超声内镜检查提示有胃黏膜下层广泛不规则隆起或伴有腔内肿块的表现,普通活检或套扎活检均未获得黏膜下层组织病变信息.15例GCP患者中行近端胃大部切除4例,远端胃大部切除3例,胃楔形切除1例,全胃切除7例,术后均未见复发,其中13例随访2年无异常,2例1年后失访.结论 GCP是一种罕见的胃部病变,易与胃间质瘤、巨大肥厚性胃炎等混淆,且偶与恶性肿瘤伴随存在,并有潜在恶变的可能性,手术治疗预后良好.
목적 탐토심재성낭성위염(gastritis cystica profunda,GCP)적림상특점병총결치료경험.방법 회고성분석2006년1월지2013년1월정주대학제일부속의원화제이부속의원외과수치적15례GCP환자적림상자료.결과 본조15례GCP환자중남9례,녀6례,평균년령위(55±10)세.림상표현불구유특정성,이상복부동통불괄、급성상소화도출혈、소화불량반체중감경등증상위주.전자위경、CT혹초성내경검사제시유위점막하층엄범불규칙륭기혹반유강내종괴적표현,보통활검혹투찰활검균미획득점막하층조직병변신식.15례GCP환자중행근단위대부절제4례,원단위대부절제3례,위설형절제1례,전위절제7례,술후균미견복발,기중13례수방2년무이상,2례1년후실방.결론 GCP시일충한견적위부병변,역여위간질류、거대비후성위염등혼효,차우여악성종류반수존재,병유잠재악변적가능성,수술치료예후량호.
Objective To investigate the clinical characteristics and summarize the experiences on the diagnosis and treatment of gastritis cystica profunda (GCP).Methods Clinical data of 15 GCP patients,who were treated in the First and Second Affiliated Hospital of Zhengzhou University from January 2006 to January 2013,were retrospectively analyzed.Results GCP may present clinically as abdominal pain,bloating,emaciation,and GI bleeding.CT,electronic gastroscope,or ultrasonic endoscope shows that GCP consists of multiple cysts within a thickened submucosal layer.The submucosal pathological features can not be obtained by ordinary biopsy and snares.Of the 15 cases,proximal gastrectomy was performed in 4 cases,distal subtotal gastrectomy in 3 cases,1 case was treated with gastric wedge resection,and total gastrectomy was performed in 7 cases.Postoperative recovery was uneventful.13 cases were followed up for 2 years,and there was no evidence of recurrence.Conclusions GCP is an uncommon disease with unknown origin,and has no clinical characteristics,and has malignant potential.Postoperative prognosis is satisfactory.