[儿童良性食道狭窄的内镜超声波特征]
Yun-Ping Tang1, Xu-Xia Wei1, Ning Xue1
1Department of Gastroenterology, Children's Hospital Affiliated to Shandong University/Jinan Children's Hospital, Jinan 250022, China (Xu J-J, Email: xjj6058@ 163. com).
概括
内镜超声波 (EUS) 有效地表征儿童良性食道狭窄症,有助于诊断和治疗规划. 这种成像模式有助于评估食道壁的参与,并指导管理,以改善患者的治疗结果.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 医疗成像医学成像
- 内镜超声波检查 (Endoscopic Ultrasonography) 是一种内镜超声波检查.
背景情况:
- 儿童良性食道狭窄带来了诊断上的挑战.
- 精确评估食道壁干涉对于有效治疗至关重要.
- 内镜超声波 (EUS) 提供了食道结构的详细可视化.
研究的目的:
- 调查儿科患者良性食道狭窄症的内镜超声波 (EUS) 特定特征.
- 为了将EUS的发现与良性食道狭窄症的不同病因相关联.
- 评估EUS在指导儿科食道狭窄症治疗策略中的实用性.
主要方法:
- 在2019年2月至2022年2月期间,对42名被诊断患有良性食道狭窄症的儿童的医疗数据进行了回顾性分析.
- 对临床表现,EUS发现和治疗结果的审查.
- 总结与狭窄症的各种原因相关的特征性EUS特征.
主要成果:
- EUS显示了不同类型狭窄的不同特征,包括静脉静脉 (45%),腐蚀性 (12%),和物理 (2%).
- 不清楚的回声边界和不均的壁厚在静脉狭窄症中被注意到.
- 在腐蚀性和不明原因的狭窄症中观察到不清楚的分层,95%的患者在治疗后症状有所改善.
结论:
- 内镜超声波 (EUS) 对于评估食道壁参与儿童良性食道狭窄症的程度非常有价值.
- EUS的发现有助于识别潜在的病因以及食道与病变之间的关系.
- EUS为选择适当的治疗方式和预防并发症,优化患者管理提供了至关重要的基础.
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