中国腹茧症14年流行病学特征

Epidemiology of abdominal cocoon in China during the past 14 years

目的:探讨中国近14年腹茧症的流行病学特征和诊疗经验.方法:联合检索中国生物医学文献数据库和中国知识资源总库等多家中文数据库1994-01 /2007-06有关腹茧症的文章,总结分析腹茧症的流行病学特征和诊治经验.结果:中国近14年共报道776例腹茧症,男女比例为1:1.37,平均年龄29.3岁,57%分布在华东地区,91.5%以不同表现形式的肠梗阻为主要症状,68.3%属于弥漫型腹茧症,40.5%患者无大网膜,手术以包膜切除为主.结论:腹茧症主要分布在华东地区,术前诊断困难,切除包膜和松解粘连是治疗此病有效方法.

AIM： To study the epidemiological features of abdominal cocoon and its diagnosis and treatment in China during the past 14 years. METHODS： Reports on abdominal cocoon published from January 1994 to June 2007 were retrieved from various databases, such as Chinese Medical Current Content （CBM） and National Knowledge Infrastructure （CNKI）. The epidemiological features of abdominal cocoon and its diagnosis and treatment were analyzed. RESULTS： A total of 776 patients with abdominal cocoon were reported in China during the past 14 years. The male to female ratio was approximately 1： 1.37. The mean age of patients at the time of their diagnosis was 29.3 years. Fiftyseven percent of the patients were distributed in East China. Intestinal obstruction of different types was the main clinical manifestation in 91.5% of the patients, diffuse abdominal cocoon was found in 68.3% of the patients, and greater omentum was absent in 40.5% of the patients. Capsule resection was the main procedure for the treatment of abdominal cocoon. CONCLUSION： Abdominal cocoon is more common in East China and is difficult to diagnose before operation. Capsule removal and adhesion release are effective against the disease.