腹茧症的临床特点和诊治方法  

Characteristic and Treatment of Abdominal Cocoon

作　　者：郑英斌[1] 苗雄鹰[1] 

机构地区：[1]中南大学湘雅二院普外科,长沙市410011

出　　处：《医药论坛杂志》2004年第11期16-17,19,共3页Journal of Medical Forum

摘　　要：目的　探讨腹茧症的病因及诊治方法。方法　总结分析 5例腹茧症的临床资料。结果　男性 1例 ,女性 4例。所有病例均手术治疗并确诊。术前 2例诊断为慢性阑尾炎和阑尾周围脓肿。 2例诊断为低位小肠梗阻。 1例术前考虑为腹部包块性质待查。结论　该病临床表现无特异性 ,术前诊断困难 ,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。Objective To explore the characteristic and treatment of abdominal cocoon.Methods The clinical data of 5 patients with abdominal cocoon were analyzed.Results 1 case was male patient,4 cases were female patient.All the patients with abdominal cocoon were treated and confirmed by operation.Before operation,2 cases were misdiagnosed as chronic appendicitis,2 cases as mechanical intestinal obstruction,and 1 case as abdominal tumor.Conclusion It shows that the clininal manifestation of abdominal cocoon is no particularity.The diagnosis is difficult in preoperation,which rely on the ooperation finding and pathology.Removal of the membranc and releasing the intestine adhesions is an effective method in treating this disease.

关 键 词：腹茧症 临床特点 病因 诊断 治疗 特发性硬化性腹炎 

分 类 号：R656[医药卫生—外科学]