腹部淋巴管瘤的临床特点及其诊断与治疗

The clinical characteristics, diagnosis and treatment of abdominal lymphangioma.

目的 探讨腹部淋巴管瘤 (LA)的临床特点及其诊治。方法 回顾性分析腹部LA 6 6例。结果 临床表现为腹痛 34例 ,腹腔内包块 32例 ,腹壁肿物 19例 ,其它手术术中发现者 9例。术前诊断为腹部LA的正确率仅为 2 4 2 %。手术切除 6 0例。病死率、术后并发症发生率及复发率分别为 3 %、15 9%及 9 5 %。结论 腹部LA常常缺乏典型的临床表现 ,X线检查、B超检查、CT或MRI检查是诊断本病的重要手段 ,但确诊及分类取决于病理学检查。手术完整切除是治疗本病的首选方案。

Objective To explore the clinical characteristics,diagnosis and treatment of abdominal lymphangioma(LA).Methods 66 patients with abdominal LA were analyzed retrospectively.Results The main clinical manifestations included abdominal pain(n=34),intra-abdominal mass(n=32) and abdominal wall's mass (n= 19),and 9 patients were discovered during the other abdominal operations.The preoperative accurate diagnostic rate of abdominal LA was only 24 2%.Surgical excision was accomplished in 60 patients.The mortality,postoperative complication rate and recurrence rate was 3%,15 9% and 9 5%,respectively.Conclusion Abdominal LA is often lack of typical clinical manifestations.X-ray radiographys, B-ultrasonography ,CT or MRI are important methods to diagnose abdominal LA.But an accurate diagnosis and classification should depend on histopathological findings.Complete excision is the treatment of choice.peration.