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目的探讨儿童胃重复畸形的影像表现以及评价各种影像学检查的价值。方法回顾性分析2009—2015年经手术病理证实的11例儿童胃重复畸形的临床和影像学资料,并与手术病理结果相对照。结果 11例胃重复畸形儿童全部行腹部平片/CT平扫及增强扫描,2例行上消化道造影。其中男6例,女5例,年龄从2个月~5岁,平均年龄2.5岁。腹部平片对本病诊断无帮助。上消化道造影可以显示胃内充盈缺损(1例)或者压迹(1例)。CT检查:重复的胃发生在胃体6例,胃底4例,胃窦1例。10例呈类圆形囊肿型,1例呈管状。发现病灶从3~6 cm,平均直径约4.52±0.43 cm。病灶形态规则,边界清楚。平扫病灶边缘清楚光滑,壁稍厚,增强后囊壁均匀强化。11例中1例合并左侧肺气道畸形,1例合并脊柱畸形,1例穿孔合并腹腔包裹性积液。结论上消化道造影对胃重复畸形有一定的提示作用,CT表现有一定的特征性,可以定性诊断。
Objective To explore the imaging manifestations of children with gastric deformity and evaluate the value of various imaging examinations. Methods The clinical and imaging data of 11 children with gastric deformity confirmed by surgery and pathology from 2009 to 2015 were retrospectively analyzed and compared with the results of surgery and pathology. Results All the 11 cases of children with gastric deformity underwent plain and CT scan of the abdomen. The upper gastrointestinal tract imaging was performed in 2 cases. Including 6 males and 5 females, aged from 2 months to 5 years old, with an average age of 2.5 years. Abdominal plain film on the diagnosis of this disease is not helpful. Upper gastrointestinal imaging can show filling the stomach defect (1 case) or pressure track (1 case). CT examination: repeated stomach occurred in 6 cases of gastric body, stomach in 4 cases, 1 case of antrum. 10 cases were round cysts, 1 case was tubular. Found lesions from 3 ~ 6 cm, the average diameter of about 4.52 ± 0.43 cm. Morphology of the rules, clear boundaries. Flat clear edge of the lesions clear and smooth, slightly thicker wall, enhanced enhancement of the posterior wall of the capsule. One of the 11 patients had left pulmonary airway deformity, one had spinal deformity, and one had perforation. Conclusions The upper gastrointestinal tract angiography has a certain suggestive effect on the gastric deformity. The CT findings have certain characteristics and can be diagnosed qualitatively.