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目的 探讨腹部淋巴管瘤 (LA)的临床特点及其诊治。方法 回顾性分析腹部LA 6 6例。结果 临床表现为腹痛 34例 ,腹腔内包块 32例 ,腹壁肿物 19例 ,其它手术术中发现者 9例。术前诊断为腹部LA的正确率仅为 2 4 2 %。手术切除 6 0例。病死率、术后并发症发生率及复发率分别为 3 %、15 9%及 9 5 %。结论 腹部LA常常缺乏典型的临床表现 ,X线检查、B超检查、CT或MRI检查是诊断本病的重要手段 ,但确诊及分类取决于病理学检查。手术完整切除是治疗本病的首选方案。
Objective To investigate the clinical features, diagnosis and treatment of abdominal lymphangioma (LA). Methods Retrospective analysis of abdominal LA 66 cases. Results The clinical manifestations were abdominal pain in 34 cases, intraperitoneal mass in 32 cases, abdominal wall mass in 19 cases, and other surgical findings in 9 cases. The correct rate of preoperative diagnosis of abdominal LA was only 424%. Surgical resection of 60 cases. Mortality, postoperative complications, and recurrence rates were 3%, 159%, and 95%, respectively. Conclusion Abdominal LA often lacks typical clinical manifestations. X-ray examination, B-ultrasonography, CT or MRI examination are important methods for diagnosing this disease, but the diagnosis and classification depend on pathological examination. Complete surgical resection is the preferred treatment for this disease.