文章摘要
刘莉穆靓秦民惠李莘韦爱华张阳.超声诊断巨大毛发性胃结石一例及文献复习[J].,2011,11(21):4117-4119
超声诊断巨大毛发性胃结石一例及文献复习
Imaging Diagnosis of Large Gastric Trichobezoar:A Case Reportand Literature Review
  
DOI:
中文关键词: 毛发性胃结石  超声
英文关键词: Gastric trichobezoar  Ultrasonography
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作者单位
刘莉穆靓秦民惠李莘韦爱华张阳 陕西省人民医院超声科 
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中文摘要:
      目的:探讨毛发性胃结石的影像表现、临床特点及治疗。方法:回顾性分析1 例毛发性胃结石患者的临床资料,结合文献报 道,对其影像、临床表现和治疗方法进行探讨。结果:患者为一女性患儿,上腹痛不适半年余,既往有拔毛癖,超声诊断胃巨大毛发 性结石,内镜证实后开腹手术,取石成功,随访痊愈。结论:毛发性胃结石与其它胃结石相比,影像表现、临床特点无明显差异,超 声检查可提供可靠的诊断提示,治疗需取出结石以消除症状,并注意心理干预,防止复发。
英文摘要:
      Objective: To investigate the imaging manifestations, clinical features and treatment of large gastric trichobezoar. Methods: The clinical data, imaging findings and treatment of large gastric trichobezoar in one case was retrospectively analyzed with literature review. Results: The child, abdominal pain more than half a year, was diagnosed with large gastric trichobezoar by ultrasound scan. A throughout anamnesis revealed a trichotillomania with trichophagia. Surgery was in form of a laparotomy with gastrotomy through which the mass was evacuated after endoscopic technique confirmed. She was discharged with follow-up remained well. Conclusion: There are no significant differences about imaging manifestations and clinical features between large gastric trichobezoar and other gastric bezoars. The ultrasonic inspection may provide important findings. The aim of treatment is to remove the bezoar and prevent recurrence. It is also recommended that these patients should be evaluated and followed up in a psychiatric clinic.
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