CAJ | 학술논문

目的：探讨超声内镜在十二指肠Brunner腺增生诊断及治疗中的应用价值。方法回顾性分析2010年1月~2013年10月我院32例经病理确诊的十二指肠Brunner腺增生患者的胃镜检查资料、超声内镜检查资料及治疗随访情况。结果本组32例患者经常规胃镜诊断，单发与多发息肉共9例，十二指肠单发与多发囊肿分别为11例和12例。经超声内镜诊断，30例患者为十二指肠黏膜下囊性病变-Brunner腺增生，2例患者被误诊为十二指肠息肉。14例患者属于无蒂囊性病变，采用鼠齿钳夹破与去除囊壁法进行治疗。7例患者为有蒂病变，运用圈套电凝切除术给予治疗。另外11例患者属于扁平隆起，给予氩离子束去除术进行治疗。本组32例患者在治疗中都未发生大出血以及穿孔等临床并发症，疗效良好。结论超声内镜在十二指肠Brunner腺增生的诊断及治疗中具有较高的应用价值。
목적：탐토초성내경재십이지장Brunner선증생진단급치료중적응용개치。방법회고성분석2010년1월~2013년10월아원32례경병리학진적십이지장Brunner선증생환자적위경검사자료、초성내경검사자료급치료수방정황。결과본조32례환자경상규위경진단，단발여다발식육공9례，십이지장단발여다발낭종분별위11례화12례。경초성내경진단，30례환자위십이지장점막하낭성병변-Brunner선증생，2례환자피오진위십이지장식육。14례환자속우무체낭성병변，채용서치겸협파여거제낭벽법진행치료。7례환자위유체병변，운용권투전응절제술급여치료。령외11례환자속우편평륭기，급여아리자속거제술진행치료。본조32례환자재치료중도미발생대출혈이급천공등림상병발증，료효량호。결론초성내경재십이지장Brunner선증생적진단급치료중구유교고적응용개치。
ObjectiveToexploretheapplicationvalueofendoscopicultrasonographyindiagnosingand treating the hyperplasia of duodenal brunner gland. Methods Gastroscopy materials, EUS materials as wellastreatmentandprognosismaterialsof 32patientswhowereconfirmedashyperplasiaofduodenal brunnerglandbypathologyinourhospitalfromJanuary 2010toOctober 2013wereretrospectively analyzed.ResuItsAfterconventionalgastroscopyexamination, 9patientswerediagnosedassingleor multiplepolyps, 11patientswerediagnosedasduodenalsinglecystsand 12patientswerediagnosedas multiplecysts.Afterendoscopicultrasonographyexamination, 30patientswerediagnosedasduodenal submucosalcysticlesion:hyperplasiaofbrunnergland, 2patientsweremisdiagnosedasduodenal polypus. 14patientswhosufferedfromnonpedicledcysticlesionsweretreatedbybreakingand removingthecystwallwithmousetoothforceps. 7patientswhosufferedfrompedunculatedlesions weretreatedwithsnareelectrocoagulation.Theother 11patientswhosufferedfromfiatelevatedwere treated with the argon ion beam removal therapy. The treatment effects were good, as there was no clinical complication such as massive bleeding and perforation occurred. ConcIusion Endoscopic ultrasonography has great value in diagnosing and treating the hyperplasia of duodenal brunner gland.