摘要
目的分析内镜及超声内镜(endoscopic ultrasonography,EUS)下肠道气囊症(pneumatosis cystoides intestinalis,PCI)的镜下及影像学特征,探讨EUS对PCI的诊断价值。方法收集2000年-2008年湖北省第三人民医院收治的2例PCI患者,检索此年限国内所有报道诊断PCI的文献资料,共8例患者,平均年龄(43.24±2.52)岁,并对PCI的EUS资料进行回顾性分析。结果 8例PCI患者中,EUS下均表现为起源于黏膜下层的混合回声或高回声病灶,内部回声不均匀,其中6例表现出其后方伴有特征性气体声影。在治疗上,5例结肠镜下注射无水酒精,2例行外科手术切除,均治疗成功。平均随访1年,临床症状消失,未见复发。结论PCI在EUS下有其特征性表现,起源于黏膜下层的混合回声或高回声,内有蜂窝状或管状无回声区,其后方伴有气体声影者应高度疑诊为PCI。EUS对PCI的诊断具有重要参考价值。
Objective To analyze the ultrasonic appearance of pneumatosis cystoides intestinalis （PCI） and evaluate the clinical value of the endoscopic uhrasonography （EUS） in diagnosing it. Methods We reviewed the database of the Third People＇ s Hospital of Hubei Province for 2 cases of PCI from 2000 to 2008, and searched the records reported at the same time in China. Eight patients, average age of （43.24 ±2.52） years old were confirmed PCI cases both in his- tologie and ultrasonic diagnosis. Retrospective analysis was used to summarize the common ultrasonic appearance of PCI. Results Eight cases were diagnosed PCI with EUS. All showed high-level or mix-lever echo, originated from sub- mueosal, internal echo was uneven, showed honeycomb or tubiform echo. Six cases showed distinctive sound shadow of gas behind the pseudopolyps. Therapeutically, 5 cases were successed in injection anhydrous alcohol with eolonoscopy. Two cases were cut in surgery. The patients were follow up for an average of 1 year, the clinical symptom disappeared and no body recurred. Conclusion PCI has significantly common ultrasonic appearance. It＇ s highly doubtful to diag- nose PCI, when it shows high-level or mix-lever echo, and honeycomb or tubiform echo inside, originated from submu- cosal, and distinctive sound shadow of gas behind the pseudopolyps. Therefore, EUS may plays an important role in the choice of diagnosis for PCI.
出处
《胃肠病学和肝病学杂志》
CAS
2016年第12期1444-1447,共4页
Chinese Journal of Gastroenterology and Hepatology
关键词
超声内镜
肠道气囊症
临床价值
Endoscopic uhrasonography
Pneumatosis cystoides intestinalis
Clinical value
