儿童肠系膜囊肿的诊断和治疗

Diagnosis and treatment of mesenteric cyst in children

目的总结儿童肠系膜囊肿诊断和治疗要点。方法回顾分析2011~2020年十年间我院经手术及病理证实10例肠系膜囊肿病人的临床表现、诊断及治疗资料。结果本病临床多以腹部包块、腹痛、腹胀发病,B超及CT检查可有助于诊断,并提供确定位置。本组以急腹症急诊剖腹探查1例,术前明确诊断9例。发病年龄6岁以内共8例,6~9岁2例。术中见囊肿位于小肠系膜7例,手术单纯切除囊肿3例,囊肿及周围肠管切除7例,其中腹腔镜辅助下手术2例。术后病理诊断为肠系膜囊肿。结论儿童期尤其是6岁以下以腹部包块、腹痛、腹胀发病,要高度怀疑本病可能,囊肿可通过超声、X线、CT等常规检查手段作出明确诊断,手术治疗为最有效的治疗方法,单纯囊肿切除为最理想的手术方式,腹腔镜手术具有优势。

Objective To explore the main points of diagnosis and treatment of mesenteric cyst in children.Methods A retrospective analysis of the clinical manifestations,diagnosis and treatment data of 10 cases of mesenteric cysts confirmed by surgery and pathology in our hospital from 2011 to 2020.Results The clinical symptoms of this disease are mostly abdominal masses,abdominal pain,and abdominal distension.B-ultrasound and CT examinations can help diagnose and provide a definite location.In this group,1 case of acute abdomen was examined by emergency laparotomy,and 9 cases were clearly diagnosed before operation.There were 8 cases within 6 years of age and 2 cases within 9 years of age.During the operation,there were 7 cases of cysts located in the mesentery,3 cases of cysts were removed by surgery alone,7 cases of cysts and surrounding intestines were removed,of which 2 cases were operated with the aid of laparoscopic surgery.The postoperative pathological diagnosis was mesenteric cyst.Conclusion In childhood,especially those under 6 years of age,the onset of abdominal masses,abdominal pain,and abdominal distension should be highly suspected.Cysts can be diagnosed with ultrasound,X-ray,CT and other routine examination methods.Surgical treatment is the most effective treatment method.,Simple cyst resection is the most ideal surgical method,and laparoscopic surgery has advantages.