腹茧症诊断与治疗的研究进展

Research advances on diagnosis and treatment of abdominal cocoon

腹茧症是一种罕见的、自身免疫系统紊乱的腹膜疾病，是由一层增厚的腹膜包裹或部分包裹小肠引起的急、慢性肠梗阻疾病。其发病原因及机制尚未完全清楚，需要进一步研究结果证实。腹茧症的临床特征缺乏特异性，容易造成误诊、漏诊，治疗上尚未形成完善的诊断与治疗规范。随着CT检查、腹腔镜等技术的推广和普及，腹茧症的诊断与治疗水平有所提高。虽然保守治疗可以延缓腹膜硬化进程，但不能从根本上解决问题。手术治疗仍为腹茧症患者的最佳选择。

Abdominal cocoon is a rare, peritoneal disease with a disorder of the autoimmune system. It is a disease of acute and chronic intestinal obstruction caused by a thickened peritoneum that wraps or partially wraps the small intestine. The cause and mechanism of its etiology are not yet fully understood which need further study. The clinical features of the abdominal cocoon symptoms are lack of specificity, which can easily lead to misdiagnosis and missed diagnosis. There is no perfect treatment standard for treatment. With the promotion and popularization of CT, laparoscopic and other technologies, the diagnosis and treatment of abdominal cocoon symptoms can be improved. Although conservative treatment can delay the progression of abdominal cocoon symptoms, it still cannot solve the problem fundamentally. Surgical treatment is still the best choice for patients with abdominal cocoon.