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目的探讨十二指肠球部Brunner腺瘤内镜切除的临床应用效果。方法回顾性分析2009年3月-2011年12月经内镜下切除治疗的18例十二指肠球部Brunner腺瘤患者的病例资料。术前均经超声内镜检查评估,术后均经病理证实,并进行随访观察。结果 18例Brunner腺瘤包括结节型16例,蚓型1例,盘型1例,均经内镜下切除,治疗成功率100%,术中创面渗血2例,均经内镜下热凝止血成功,无穿孔及死亡病例。术后病理均提示Brunner腺瘤,超声内镜诊断实质型12例,囊实混合型3例,多囊分隔型3例。随访时间12~45(25.6±10.1)个月,无复发病例。结论超声内镜检查是有效的Brunner腺瘤术前诊断方法,Brunner腺瘤的内镜切除治疗安全有效。
Objective To investigate the clinical effect of endoscopic resection of Brunner’s adenoma of duodenal bulb. Methods The clinical data of 18 patients with Brunner’s adenoma of duodenal bulb underwent endoscopic resection from March 2009 to December 2011 were retrospectively analyzed. Preoperative ultrasound endoscopic evaluation, postoperative were confirmed by pathology and follow-up observation. Results Eighteen cases of Brunner’s adenoma included 16 cases of nodules, 1 case of vermis and 1 case of disk type. All cases were treated by endoscopic resection. The success rate was 100%, 2 cases of intraoperative wound bleeding, Serum coagulation success, no perforation and deaths. Postoperative pathology showed Brunner adenoma, ultrasound endoscopic diagnosis of parenchymal in 12 cases, cystic solid mixed type in 3 cases, 3 cases of polycystic segregation. The follow-up time ranged from 12 to 45 (25.6 ± 10.1) months, with no recurrence. Conclusion Ultrasound endoscopy is an effective preoperative diagnosis of Brunner’s adenoma. Endoscopic resection of Brunner’s adenoma is safe and effective.