腹膜后寄生胎1例报告及文献复习  

One case of retroperitoneal parasitic fetus and literature review

作　　者：甘毅[1] 熊灿娟[1] 吴君辉[1] 李小荣[1] 吕侣[1] 

机构地区：[1]中南大学湘雅三医院普外科,长沙410013

出　　处：《中南大学学报（医学版）》2012年第2期213-216,共4页Journal of Central South University ：Medical Science

摘　　要：回顾性分析1例典型腹膜后寄生胎病例的临床特点,并结合国内文献,发现我国寄生胎有4个临床特点:1)发病率极低,以婴幼儿多见;2)寄生部位呈向心性;3)腹膜后和腹腔是好发部位;4)男女发病无性别差异。腹膜后寄生胎需与各种良恶性肿瘤相鉴别,影像学检查是术前诊断的最佳方法 ,轴骨系统是其特征性表现。手术切除是最佳治疗手段。胎盘附着部位血运丰富,须谨慎处理。本病切除后预后良好。Clinical features of 1 case of retroperitoneal parasitic fetus （PF） were retrospectively analyzed and Chinese literatures were reviewed. PF in China has 4 clinical features： 1） The incidence was extremely low and it was more common in infants and children. 2） The parasitic parts showed centrality. 3） The retroperitoneum and abdominal cavity were the most common parasite locations. 4） There was no gender difference in the incidence. Retroperitoneal PF should be distinguished from various benign and malignant abdominal tumors. Imaging was the optimal option for PF diagnosis and the axis bone system was its typical manifestation. Complete excision was the optimal treatment. Thick and large nutrient vessels may be found at where the placenta was attached, and should be ligated carefully.The outcome of this case was good because PF was completely excised.

关 键 词：腹膜后寄生胎 畸胎瘤 临床特点 手术治疗 

分 类 号：R726.5[医药卫生—儿科]