临床外科杂志 ›› 2021, Vol. 29 ›› Issue (6): 512-513.doi: 10.3969/j.issn.1005-6483.2021.06.004

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儿童肠系膜囊肿的诊断和治疗

  

  1. 江苏常州,常州市儿童医院小儿外科
  • 出版日期:2021-06-20 发布日期:2020-06-20

Diagnosis and treatment of mesenteric cyst in children

  • Online:2021-06-20 Published:2020-06-20

摘要: 总结儿童肠系膜囊肿诊断和治疗要点。方法:回顾分析2011~2020年十年间我院经手术及病理证实10例肠系膜囊肿病人的临床表现、诊断及治疗资料。结果:本病临床多以腹部包块、腹痛、腹胀发病,B超及CT检查可有助于诊断,并提供确定位置。本组以急腹症急诊剖腹探查1例,术前明确诊断9例。发病年龄6岁以内共8例,6~9岁2例。术中见囊肿位于小肠系膜7例,手术单纯切除囊肿3例,囊肿及周围肠管切除7例,其中腹腔镜辅助下手术2例。术后病理诊断为肠系膜囊肿。结论:儿童期尤其是6岁以下以腹部包块、腹痛、腹胀发病,要高度怀疑本病可能,囊肿可通过超声、X线、CT等常规检查手段作出明确诊断,手术治疗为最有效的治疗方法,单纯囊肿切除为最理想的手术方式,腹腔镜手术具有优势。

关键词: 肠系膜囊肿, 儿童

Abstract: Objective:To explore the main points of diagnosis and treatment of mesenteric cyst in children.Methods:A retrospective analysis of the clinical manifestations,diagnosis and treatment data of 10 cases of mesenteric cysts confirmed by surgery and pathology in our hospital from 2011 to 2020.Results:The clinical symptoms of this disease are mostly abdominal masses,abdominal pain,and abdominal distension.Bultrasound and CT examinations can help diagnose and provide a definite location.In this group,1 case of acute abdomen was examined by emergency laparotomy,and 9 cases were clearly diagnosed before operation.There were 8 cases within 6 years of age and 2 cases within 9 years of age.During the operation,there were 7 cases of cysts located in the mesentery,3 cases of cysts were removed by surgery alone,7 cases of cysts and surrounding intestines were removed,of which 2 cases were operated with the aid of laparoscopic surgery.The postoperative pathological diagnosis was mesenteric cyst.Conclusion:In childhood,especially those under 6 years of age,the onset of abdominal masses,abdominal pain,and abdominal distension should be highly suspected.Cysts can be diagnosed with ultrasound,Xray,CT and other routine examination methods.Surgical treatment is the most effective treatment method.,Simple cyst resection is the most ideal surgical method,and laparoscopic surgery has advantages.

Key words: mesenteric cyst, children

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