国人特发性收缩性肠系膜炎47例

Clinical characteristics of Chinese retractile mesenteritis: an analysis of 47 cases

目的:分析国人特发性收缩性肠系膜炎的临床特点,提高对该病的认识,避免误诊误治．方法:回顾性分析我院确诊的3例和近28 a 来国内期刊发表的33篇文献报道44例总共47 例特发性收缩性肠系膜炎的临床资料,总结其在发病年龄、性别、诱因、临床表现、诊治、病变部位大小、预后等方面的特点．结果:特发性收缩性肠系膜炎好发于中老年, 男女比例相当．以腹痛和腹部肿物为主要表现,病变长径多>5 cm,以小肠系膜多见,其次是盲肠升结肠系膜,横结肠、降结肠、乙状结肠系膜和大网膜少见．结论:特发性收缩性肠系膜炎缺乏特异性的临床和影像学表现,极易被误诊．确诊主要依赖手术探查和病理检查．本病的预后好．临床上提高对该病的认识和病理检查是提高确诊率的关键．

AIM： To summarize the clinical characteristics of Chinese retractile mesenteritis. METHODS： Three patients diagnosed with retractile mesenteritis in our hospital and 44 ones reported in 33 articles were concluded in this study. The clinical data, including the ages, sex, predisposing factors, clinical manifestations, diagnosis and treatment, locations and sizez of the lesions, and prognosis, were analyzed. RESULTS： Chinese retractile mesenteritis mainly occurred in middle-aged and old patients （mean age： 46 ±18）, among which the male and females covered an equivalent proportion. Its dominant symptoms were bellyache and celiac mass. The mean value of long diameter was more than 5 cm （mean： 8.5 ± 3.5 cm） in majority. The focus located in the mesentery of small intestine most frequently, then came to ascending colon, transverse colon, descending colon sigmold colon and epiploon, orderly. CONCLUSION： Non-specific symptoms and physical signs lead to a high rate of misdiagnosis in patients of retractile mesenteritis. The accurate diagnosis for retractile mesenteritis depends on pathological and surgical examination.