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目的:探讨胃内异位胰腺诊断方法 方法:观察异位胰腺的内镜、X线、超声表现,测定异位胰腺淀粉酶滴度。结果:①内镜可见胃窦孤立性圆形隆起病灶,顶部脐凹:常规活检病理均示慢性炎。②异位胰腺淀粉酶测定明显高于血淀粉酶 ③逆行异位胰管造影,胰管结构显示 ④胃钡餐摄片呈息肉状粘膜下肿瘤特征。⑤超声可见胃壁内不同深度的均匀低回声块影 ⑥术后病理均为粘膜下层及/或肌层异位胰腺。结论:内镜检查和“深挖活检”对异位胰腺最具诊断价值
Objective: To investigate the method of diagnosis of gastric ectopic pancreas: To observe the endoscopic, X-ray and ultrasonographic findings of ectopic pancreas and to measure the titer of ectopic pancreatic amylase. Results: (1) Isolated antrum of the antrum can be seen by endoscopy, the top of the umbilical concave: conventional biopsy showed chronic inflammation. ② ectopic pancreatic amylase determination was significantly higher than that of serum amylase ③ retrograde ectopic pancreatic duct imaging, pancreatic duct structure showed ④ gastric barium meal was polypoid submucosal tumor characteristics. ⑤ ultrasound can be seen within the stomach wall at different depths of uniform hypoechoic block ⑥ postoperative pathology are submucosa and / or myometrial ectopic pancreas. Conclusion: Endoscopy and “digging biopsy” have the most diagnostic value on ectopic pancreas