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儿科患者不常见的囊:一个病例系列

M Febrianti¹, E Purnomo², A Dwihantoro¹

¹Universitas Gadjah Mada/Dr. Sardjito Hospital, Faculty of Medicine, Public Health and Nursing, Department of Surgery, Pediatric Surgery Division, Yogyakarta, Indonesia.

The Medical journal of Malaysia

|August 31, 2024

概括

这一案例系列突出显示了三种儿科囊,包括表皮,伪囊和上皮类型. 早期诊断和各种治疗,从排水到脊髓切除术,导致这些罕见的腹部质量取得成功.

科学领域:

儿科手术儿科手术
腹部成像腹部成像腹部成像
病理学病理学病理学

背景情况:

脏囊是罕见的,具有寄生虫和非寄生虫起源.
非寄生性囊是原发性 (先天性) 或二次性 (创伤,感染,缺血).
儿科囊不常见,但应考虑,特别是在腹部创伤后.

研究的目的:

介绍一系列儿童三种不同囊的病例.
讨论各种临床表现,诊断方法和治疗方法.
强调在儿科腹部群体中考虑脏囊的重要性.

主要方法:

对三名患有囊囊的儿科患者的病例系列审查.
诊断工作包括成像 (超声波,CT) 和组织病理学.
治疗策略包括全脊髓切除术,部分脊髓切除术和吸气排水.

主要成果:

提出了三个病例:上皮质囊,伪囊和上皮质囊 (SEC).
所有患者都有无症状的左侧腹部质量;一个人有创伤史.
治疗包括脊髓切除术 (2) 和吸血与部分脊髓切除术 (1),没有术后并发症.

结论:

上皮囊是主要的主要非寄生类型,其病因不明.
组织病理学是诊断脏囊的黄金标准.
图像指导管理,平衡儿童囊的保守和手术选择.

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