摘要
目的探讨成人腹茧症临床特点及诊疗方法。方法收集1985年8月—2009年1月收治的8例成人腹茧症患者的临床资料并结合文献作一回顾性分析。结果8例中6例表现为急、慢性肠梗阻的症状;8例患者均进行了腹部X线平片检查,证实存在肠梗阻征象。2例经非手术治疗获得缓解,6例经腹腔镜及剖腹探查术中均发现全部或部分小肠被一层灰白色致密坚韧的纤维膜包裹,行粘连松解、肠排列术等,术后疗效满意。结论成人腹茧症患者术前诊断困难。消化道造影和CT检查对本病的诊断很有价值。以手术为主的综合治疗方法,多能取得满意疗效。
Objective To investigate the clinic features,diagnosis and treatment for adult abdominal cocoon.Methods The clinical data of 8 cases with adult abdominal cocoon in our hospital were collected from Aug 1985 to Jan 2009,which were analyzed retrospectively.Results Intestinal obstructions with acute and chronic types were the main clinical manifestation,which were 6 and 8 cases respectively.Abdominal plain X-ray was performed and intestinal obstruction was used for confirmation in all cases.2 cases were healed treated by non- operation therapy and the other cases received operations including excision of the membrane, lysis of intestinal adhesions and intestinal arrangement techniques. Conclusion Adult abdominal cocoon is not specific in its diagnosis, therefore it is difficult to diagnose preoperatively. However, upper digestive tract radiography, B ultrasonography and CT scanning could help to make the diagnosis. Operation is usually adopted as the primary therapy, which is effective procedure in the treatment of the disease.
出处
《中国煤炭工业医学杂志》
2009年第8期1197-1198,共2页
Chinese Journal of Coal Industry Medicine
关键词
腹茧症
肠梗阻
外科手术
adult
abdominal cocoon
intestinal obstruction
surgery operation
