【摘要】 目的　探讨纵隔肠源性囊肿病因、临床诊断及治疗。方法　回顾性分析近 2 0年 1 7例纵隔肠源性囊肿患儿的临床资料。结果　 1例为壁内型食道囊肿 ,1 6例为纵隔肠源性囊肿 ,1 6例中 2例同时合并腹腔内的肠重复畸形 ;临床上多数患儿以呼吸系统症状就诊 ,1 2例合并椎体畸形 ,1 2例行胸部B超检查 ,4例行胸部MRI检查 ,均为边界清晰的囊性肿物 ,8例行99TmTc扫描 ,后纵隔内可见核素99TmTc浓集灶。结论　分析本组临床资料 ,得到如下结论 :第一 ,小儿纵隔肠源性囊肿的临床特征有①具有呼吸系统压迫症状 ,患侧胸廓隆起 ,呼吸活动度差 ,呼吸音减弱或消失 ;②后纵隔囊肿合并椎体畸形 ;③胸部超声、CT和 /或MRI检查 ,后纵隔存在边缘清楚 ,内壁光滑的单房性含液囊肿 ;④ 99TmTc扫描发现后纵隔囊肿内有异位的胃肠粘膜。第二 ,本病的根治方法是手术治疗更多还原

【Abstract】 Objective The aim of this study is to discuss the etiology, clinical diagnosis and therapy of enteric cysts in the mediastinum.Methods Seventeen children with mediastinal enteric cysts in the last 20 years were studied retrospectively.Results There were one esophageal intramural cyst and 16 enteric cysts . Two of 16 cases had combined esophageal with gastric duplication. Most patients presented with symptoms of respiratory distress. Twelve patients had associated with vertebral anomalies. The cystic nature of these lesions were confirmed by ultrasound in 12 cases and MRI in 4. Eight patients who had 99Tm Tc scan showed hot spots in the posterior mediastinum.Conclusions Most patients present with symptoms of respiratory distress and vertebral anomalies. Ultrasonography and MRI may be helpful in confirming the cystic nature of these lesions. 99Tm Tc scan is the most effective method for differentiating from other mediastinal cysts.更多还原