9例腹茧症的特点及诊治体会

目的提高对腹茧症的认识及临床诊治水平。方法回顾性分析本院收治的9例腹茧症病人的临床资料。结果术前均未能明确诊断,均剖腹探查,术前3例误诊为慢性阑尾炎,5例误诊为机械性肠梗阻,1例误诊为卵巢囊肿蒂扭转。结论腹茧症临床表现无特殊性,术前诊断困难,上消化道造影、B超及CT检查对诊断有帮助,需手术及病理确诊。包膜切除、肠粘连松解是治疗本病的有效方法。

Characteristics and experience of diagnosis and treatment for 9 cases of abdominal cocoon

Objective To improve the standard of knowledge, diagnosis and treatment for abdominal cocoon. Methods Nine cases of abdominal cocoon were analyzed retrospectively. Results None was made definite diagnosis before operation, all the cases were carried out exploratory laparotomies. Before operation, 3 and 5 cases were misdiagnosed as chronic appendicitis,and mechanical intestinal obstructions respectively. One case was misdiagnosed as pedicwoln torsion of ovarian cyst. Conclusion The clinical manifestation of abdominal cocoon is not particular, so the correct diagnosis is difficult before operation. The diagnosis mainly depends on the upper gastrointestinal radiography, B-ultrasonography and CT, and relies on the operation finding and pathology. Removal of the membrane and releasing the intestinal adhesions are effective methods in treating this disease.