腹腔纱布肉芽肿诊断与治疗的临床研究

The experience on the diagnosis and treatment of abdominal gauze granuloma

目的探讨如何提高腹腔纱布肉芽肿的术前准确诊断率,减少对患者的伤害。方法回顾该院收治的腹腔纱布肉芽肿病例4例,复习其临床表现及B超、CT的影像学特征,结合相关文献资料进行总结分析。结果本组4例患者在术前均行B超、CT检查,其中3例患者有一定的影像学特征,手术探查后明确诊断,未行扩大手术;1例患者的影响学特征不明显,诊断为肝癌,行右半结肠切除联合肝脏部分切除术。4例均治愈。结论腹腔纱布肉芽肿的B超、CT检查均有一定特征性表现,仔细分析影像学特征并结合病史资料可以提高术前诊断率,减少对患者的伤害。

Objective To explore how to improve the preoperative diagnosis of abdominal gauze granuloma,to reduce the harm to patients.Methods Four cases of abdominal gauze were reviewed and analyzed on the clinical findings and medical images,features of B-ultrasonic and CT were summarized with other references.Results B-ultrasonic and CT were performed in all four cases before operation.Because of the characteristic image findings,the characteristic image of B-ultrasonic and CT were found in three cases except one case.The three cases were treated with laparotomy and mass resection without expanding operations.One case was treated by partial hepatectomy and resection of right half of colon because misdiagnosis of liver cancer.Conclusion The features in B-ultrasonic and CT are reliable in the diagnosis of abdominal gauze granuloma,if combined with medical history,the misdiagnosis rate and the harm to patients can be reduced.