小儿肠系膜淋巴管瘤手术方式探讨  

Surgical procedures of mesenteric lymphangiomas in children

作　　者：马春淼[1] 杨合英[1] 王家祥[1] 岳铭[1] 郭立华[1] 秦攀[1] 苟丽[1] 张大[1] 高建[1] 

机构地区：[1]郑州大学第一附属医院小儿外科郑州大学肿瘤分子研究所,450052

出　　处：《中华小儿外科杂志》2012年第2期81-84,共4页Chinese Journal of Pediatric Surgery

摘　　要：目的 探讨肠系膜淋巴管瘤的手术方式.方法 收集我院2006年至2011年经手术病理证实的9例小儿肠系膜淋巴管瘤的临床资料,回顾性分析其临床表现、影像学特点及手术方式.结果 9例均行手术治疗,其中2例行完整瘤体切除术,3例行劈开瘤体分块完全切除术,4例行瘤体并肠管切除肠吻合术.8例术后恢复顺利,近期并发症1例为乳糜腹,远期并发症1例为粘连性肠梗阻,经保守治疗后治愈.随访3～59个月均无瘤体复发,生长发育正常.结论 肠系膜淋巴管瘤的生长方式有两种,局限性生长和浸润性生长.手术切除为首选治疗方式,根据生长方式选择相应的手术方式,对于浸及肠系膜根部的淋巴管瘤,采用瘤体劈开,分块完全切除效果良好.Objective To analyze surgical treatment for mesenteric lymphangiomas in children.Methods Nine patients with mesenteric lymphangiomas were identified in our hospital from 2006 to 2011.Their clinical manifestations,imaging features and subsequent surgical management were retrospectively analysed.Results All patients underwent surgery.Two had complete tumor resection,three had staged excision,and the remaining four received combined tumor-intestinal resection with intestinal anastomosis.Eight patients had good initial recovery.One developed post-operative chylus ascites.Another returned with adhesive intestinal obstruction in the long term.Both recovered after conservative treatment.No lymphangioma recurred after a follow-up of between 3 to 59 moths.Conclusions Mesenteric lymphangiomas grow in two patterns,localized and infiltrative.Surgical resection remains the treatment of choice.Depending on the growth pattern,staged approach resection is also effective for treating infiltrative tumors.

关 键 词：肠系膜淋巴管瘤 儿童 消化系统外科手术 

分 类 号：R735[医药卫生—肿瘤]