肠系膜囊肿的诊断与治疗

目的探讨肠系膜囊肿的诊断与治疗。方法回顾性分析2008年4月至2012年7月哈尔滨医科大学附属第一医院收治的5例肠系膜囊肿患者的临床资料，总结该病的诊断和治疗经验并分析其预后。结果肠系膜囊肿术前诊断主要依赖彩色多普勒超声、CT等影像学检查。5例患者囊肿均位于小肠系膜，行手术切除治疗，术后病理检查证实为肠系膜囊肿。患者住院时间为8～12d，术后随访时间为4～52个月，无囊肿复发及恶变发生。结论彩色多普勒超声和CT检查对肠系膜囊肿具有较高的诊断价值，确诊最终取决于病理检查结果。完整的手术切除可使患者获得理想的预后，应作为治疗该病的首选方法。

Diagnosis and treatment of mesenteric cyst

Objective To investigate the diagnosis and treatment of mesenteric cyst. Methods The clinical data of 5 patients with mesenteric cyst who were admitted to the First Affil- iated Hospital of Harbin Medical University were retrospectively analyzed. The experiences in diagnosis, treatment and prognosis were summarized. Results Preoperative diagnosis of the mesen- teric cyst mainly depended on imaging examination, such as color Doppler ultrasonography or computed tomography. The cysts of the 5 patients were located at the mesentery of the small intes- tine. All the patients received surgical resection of the cysts, and postoperative pathological examination confirmed the preoperative diagnosis. The duration of hospital stay was 8-12 days, and time of follow-up was 4-52 months, no recurrence nor canceration of the cysts was detected. Conclusions Color Doppler uhrasonog- raphy and computed tomography have high diagnostic value for mesenterie cyst, while its final diagnosis depends on pathological findings. Complete surgical resection is the first choice for the treatment of mesenteric cyst, and it provides a satisfactory prog- nosis for the patients.