腹茧症的外科治疗

Surgical treatment for abdominal cocoon

目的 探讨腹茧症的诊断及治疗。 方法 回顾性总结 6例腹茧症的临床资料。 结果 6例腹茧症患者术前均误诊 ,5例诊为肠梗阻 ,1例诊为腹部包块 ,6例均给予全部或部分包膜切除术 ,1例行肠排列术。 结论 腹茧症临床表现无特异性 ,术前诊断困难。上消化道造影、B超及CT对诊断有帮助。治疗常选择行全部或部分包膜切除、肠排列、肠切除、粘连松解术。

Objective To explore the diagnosis and treatment of abdominal cocoon. Methods This article retrospectively summarized clinical data of 6 cases of abdominal cocoon. Results All the 6 cases of abdominal cocoon were misdiagnosed preoperatively: 5 cases were diagnosed as having intestinal obstruction and 1 case,abdominal mass.Partial or total capsule resection was adopted in all the 6 cases,1 of which simultaneously underwent intestinal arrangement. Conclusions Abdominal cocoon is not specific,which is difficult to diagnose preoperatively.Upper digestive tract radiography,B-ultrasonography and CT scanning help to make the diagnosis.Partial or total capsule resection,intestinal arrangement,intestinal resection and release for intestinal adhesion are usually adopted as the treatment.