小儿肠系膜囊肿(附41例报告)

Mesenteric Cysts

小儿肠系膜囊肿为先天性淋巴管发育畸形,北京儿童医院近十年来收治29例,太原儿童医院收治12例,共41例.发病率不高,多在10岁以内出现症状.复发性腹痛、腹胀、无张力肿物为其主要症状和体征,急性腹膜炎,急性或慢性复发性肠梗阻为其主要合并症.诊断可依靠症状、体征、腹部X线平片钡餐、钡灌肠及'B'型超声检查.应争取早期诊断早期手术切除肿物.

In 1975-1986,29 cases of mesenteric cyst were admitted to Beijing Children's Hospital,and other 12 to Taiyuan Children's Hospital Most of them were under 10 years of age and the youngest was 4 days old.The recurrent abdominal distention and pain,and a soft mass in abdomen are the cardinal signs.However,it might be complicated by peritonitis,acute or chronic recurrent intestinal obstruction.It can be readily diagnosed by plain X-ray,barium meal,barium enema and B-ultrasonography.The fluid in cysts may be serous,chylous or bloody.Most of the cysts located in the ileum region.Patieats with symptoms should be operated.Removal of the cyst with or without enterectomy is the first choice of treatment.If a total resection is impossible,a thorough decortication leaving the back part of the residual cyst wall would be preferable.Small amount of serous secreation will be absorbed by the peritoneum.