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目的 探讨腹茧症的病因及诊治。方法 总结 6例腹茧症患者的诊治经验并复习文献。结果 6例患者中女性 4例 ,男性 2例 ,年龄 2 0~ 5 5岁。既往有手术史 2例。临床上均为小肠梗阻的表现。均采取手术治疗 ,其中 2次手术 3例 ,治愈 6例。结论 腹茧症的病因多种 ,诊断困难 ,多在腹部手术中发现 ;治疗上应在彻底切除包膜、分离肠管的基础上行Noble手术或肠造瘘术。
Objective To investigate the etiology and diagnosis and treatment of cocoon. Methods Six cases of diagnosis and treatment of patients with abdominal cocoon disease and review the literature. Results Among the 6 patients, 4 were female and 2 were male, ranging in age from 20 to 55 years. Past history of surgery in 2 cases. Clinical manifestations of intestinal obstruction. All cases were treated by surgery, of which 2 were operated in 3 cases and 6 cases were cured. Conclusions There are many etiologies of cocooning, which are difficult to diagnose. Most of them are found in abdominal surgery. Noble surgery or enterostomy should be performed on the basis of complete resection of the capsule and separation of the intestine.