肠系膜疾病114例临床分析

目的　探讨肠系膜疾病的诊治情况 ,提高对该病的认识。方法　回顾性分析总结 114例肠系膜疾病住院病人的临床与病理资料。结果　肠系膜疾病约占同期住院病例的 0 0 6 % ,病因依次为炎症 (5 3 5 % )、肿瘤(33 3% )、血管性疾病 (8 8% )及其它 (4 4 % )。病变部位主要在小肠系膜 (6 4 0 % )。确诊手段主要是剖腹探查、腹腔镜检、细针穿刺及B超等。治疗针对病因 ,诊断不明者预后较差。结论　肠系膜疾病临床少见 ,有些病种预后凶险。

Mesenteric diseases:Clinical analysis of 114 cases

Objective To study the diagnosis and treatment of mesenteric diseases,and to enhance the understanding.Methods The clinical and histopathological data of 114 cases of mesenteric diseases were retrospectively analyzed.Results The percentage of mesenteric diseases was 0.06% of all inpatients during the same period;the causes were as follows,inflammation (53.5%),tumor (33.3%),lesion of vessels (8.8%) and others (4.4%).The lesion sites were mostly in the mesentery of small intestine (64.0%).The confirming diagnostic methods were exploratory laparotomy,laparoscopy,fine needle aspiration biopsy and ultrasonography.The therapeutic strategies were cause-oriented,but the prognosis of those with unknown causes was poor.Conclusion Mesenteric diseases are clinically rare,and the prognosis of some of the types is unfavourable.