腹茧症7例临床分析

Clinical analysis of 7-case abdominal cocoon

目的:探讨腹茧症病因诊断和治疗的方法。方法:对2004～2006年住院7例腹茧症患者的临床资料进行回顾性分析。结果:6例有外科急腹症的表现,术前分别诊断为:消化道穿孔、十二指肠淤滞症、盆腔囊肿、盆腔子宫内膜异位症、原因不明的急性肠梗阻;另1例行胃癌手术时发现本病。7例术前均未明确诊断,经手术证实为腹茧症。术后全部治愈出院,随访无复发。结论:腹茧症临床表现不典型,诊断困难,误诊率高,确诊需剖腹探查和病理切片。纤维包膜切除术和肠粘连松解术是治疗本病的有效方法。

Objective： To investigate the etiology, diagnosis and treatment of abdominal cocoon. Methods： The clinical data of 7 cases of abdominal cocoon in our hospital was analyzed retrospectively. Results： Six patients presented with acute abdomen and diagnosed as alimentary canal perforation, duodenal stasis, pelvic cyst, pelvic endometriosis, agnogenic acute ileus, respectively. The rest was identified in gastric cancer operation. The diagnosis was confirmed until laparotomy. All patients recovered without recurrence in follow-up. Conclusion： Atypical clinical symptoms of abdominal cocoon make the diagnosis difficult and misdiagnose frequent and the final diagnosis require laparotomy and pathological examination. Membranectomy and enterolysis are effective procedures in the treatment of this disease.