肖丹.Peutz-Jeghers综合征并发症诊治分析(附4例报道)[J].内科急危重症杂志,2015,21(5):
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| DOI： |
| 中文关键词: Peutz-Jeghers综合征 并发症 治疗 |
| 英文关键词:Peutz-Jeghers syndrome Complication Diagnosis |
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| 摘要点击次数: 2321 |
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| 中文摘要: |
| 目的：分析Peutz-Jeghers的综合征临床表现、胃肠道检查特征，提高诊疗水平。方法：复习本院就诊的4例Peutz-Jeghers的综合征患者临床资料，结合文献进行综合分析。结果：4例患者中2例有家族史，1例以腹痛、呕血、黑便就诊后诊断为肠套叠、肠梗阻，行外科手术治疗。另3例行胃镜、结肠镜见大小不等息肉，分次行内镜下部分息肉切除术，后病理证实为错构瘤及腺瘤样增生，其中1例行多次内镜下治疗,发现未切除的息肉体积缓慢增大、部分有出血表现，但尚无癌变征象。1例发现一处息肉癌变，后进一步外科手术治疗。结论：内镜是Peutz-Jeghers综合征重要的检查治疗手段，定期内镜下随访及行内镜下息肉切除可降低其并发症的发生率。 |
| 英文摘要: |
| Objective：Explore PJS characteristics of clinical manifestation, and found that, raise the level of diagnosis and treatment．Methods: Clinical data of 4 cases of patients in our hospital, and combining with literature review, make a comprehensive analysis. Results: Patients gastroscopy, colonoscopy, or gastrointestinal angiography examination.1 case with abdominal pain, hematemesis, black clinic diagnosis of small intestinal obstruction after surgical treatment,The other 3 cases were performed endoscopic polyps, Among them 1 case found colon polyp canceration, after surgical treatment.Conclusion：Endoscopic is important for treatment and inspection means, to treat polyps of complications and reduce the incidence of complications. |
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