腹茧症五例的临床分析

Abdominal cocoon： A roport of 5 cases

目的探讨腹茧症的临床特点及诊治方法。方法回顾性分析2015年10月至2017年2月首都医科大学附属北京朝阳医院收治的5例腹茧症患者的临床资料。结果本组5例腹茧症患者中男3例，女2例，年龄43～67岁，伴有胃癌1例，结肠癌1例，直肠癌2例，隐睾1例；术前均无肠梗阻症状，术中均发现全部或部分小肠被包裹在一层坚韧的纤维膜内。行原发病灶切除术，未行粘连松解术．术后患者无肠梗阻、肠瘘等并发症发生。结论术前诊断腹茧症困难，常于手术中无意发现，患者若无肠梗阻症状可不予以处理。

Objective To explore the clinical characteristics and treatment of abdominal cocoon. Methods Clinical data of 5 cases with abdominal cocoon in our hospital from October 2015 to February 2017 were analyzed. Results 5 patients with abdominal cocoon were recruited, including 3 males and 2 females. Of the 5 patients, one with gastric cancer, 1 with colon cancer, 2 with rectal cancer and 1 with cryptorchidism. All the patients have no symptoms of intestinal obstruction. Laparotomy revealed that all or part of small intestine had been wrapped in a layer of tough fibrous membrane. Excision of primary lesion without lysis of adhesions were done. No symptoms of intestinal obstruction and intestinal fistula occurred after operation. Conclusions The preoperative diagnosis of abdominal cocoon is difficult. It is often inadvertently found in the operation, asymptomatic patients, do not need treatment.