摘要
目的探讨成人腹腔淋巴管瘤的病因、临床表现、影像学特点及诊治方法。方法综合分析101例成人腹腔淋巴管瘤患者的临床资料,其中我院11例,国内文献报道90例。结果男性∶女性为1.2∶1,年龄18～77岁,平均54岁。临床表现为腹部包块54例(占53.3%),以腹胀不适或乏力等非特异性症状38例(占37.4%),4例表现为急腹症(占4%)。术前所有病例均行腹部CT平扫检查,部分病例行腹部B超及CT增强及MRI检查,2例行肠镜检查,1例行保留灌肠的CT平扫。术前所有病例均未能确诊,93例临床诊断正确,误诊8例,误诊率为7.9%。除1例行穿刺活检外,其余100例均手术治疗。术后除1例合并恶性肿瘤患者预后不良外,其余均无复发,疗效满意。结论腹腔淋巴管瘤是临床少见的良性肿瘤。术前诊断困难,需借助B超、CT及MRI等影像学技术综合进行诊断。手术治疗为首选的治疗方法 ,术后多无复发,预后良好。
ObjectiveTo explore the etiology, clinical characteristics, imaging features, diagnosis and treatment of abdominal lymphangioma in adults. MethodsClinical data of 101 cases with abdominal lymphangioma in adults including 11 cases in our hospital and 90 cases reported in Chinese literature within five years were analyzed. ResultsThe male to female ratio was approximately 1.2∶1.The mean age at diagnosis was 54 years old.The signs of abdominal lymphangioma included abdominal mass in 54 cases（53.3%）,abdominal discomfort or fatigue and other non-specific symptoms in 38 cases（37.4%）,and acute abdomen（4%） in 4 cases..All patients received abdominal CT scan examination.Of the 101 cases, abdominal B-ultrasound ,CT enhancement and MRI examination were performed in some cases, routine colonoscopy test in two cases, routine CT scan of the retention enema in one case. The preoperative diagnose of abdominal lymphangioma were difficult,but the clinical diagnosis was correct in 93 cases, misdiagnosis in 8 cases, and the misdiagnosis rate was 7.9%.In addition to the routine biopsy,100 cases received operations.The rest cases had no recurrence after operation and the effect of treatments were satisfactory, except for 1 case mergering with malignant tumor. ConclusionAbdominal lymphangioma is an rare benign tumor.Preoperative diagnosis is difficult, so it needs to rely on B-ultrasound,CT and MRI imaging technology for a comprehensive diagnosis. Surgery is the preferred treatment. Furthermore, most of the patients after operation have little chance to recurrence and the effect of treatment is good.
出处
《医学研究杂志》
2010年第4期82-84,共3页
Journal of Medical Research
