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目的总结婴幼儿幽门管增生性息肉的临床特点和诊治要点。方法收集5例婴幼儿幽门管息肉病例资料,均为男性,平均年龄15.6个月,分析其临床特点。结果5例患儿起病急、重,经内科保守治疗无效,辅助检查包括胃镜均不能明确诊断。患儿均通过剖腹探查术明确诊断,予以息肉切除和幽门管成形术治疗,并获得治愈。结论婴幼儿幽门管息肉目前较难通过辅助检查明确诊断,剖腹探查是其重要诊疗手段。息肉于剖腹探查术同时切除,治疗效果良好。
Objective To summarize the clinical features and diagnosis and treatment of infantile pyloric hyperplastic polyps. Methods The data of 5 cases of pyloric polyps from infants and young children were collected, all of them were male, with an average age of 15.6 months. The clinical features were analyzed. Results 5 cases of children with acute onset and severe, ineffective by conservative medical treatment, ancillary examination, including gastroscopy are not clear diagnosis. Children were diagnosed by laparotomy, polyp resection and pyloroplasty, and cured. Conclusions Infants and young children with pyloric polyps at present difficult to confirm the diagnosis by auxiliary examination, laparotomy is an important means of diagnosis and treatment. Polyps at the same time laparotomy exploration, the treatment effect is good.