腹盆腔非实质脏器起源性囊肿诊治进展  

Progress of Diagnosis and Treatment of Cysts Originated from Non-Parenchymal Viscera of Abdomen and Plevis

作　　者：张志强[1] 朱安龙[1] ZHANG Zhiqiang;ZHU Anlong(Department of Colorectal Surgery,the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China)

机构地区：[1]哈尔滨医科大学附属第一医院结肠直肠外科,哈尔滨150001

出　　处：《医学综述》2018年第24期4880-4883,共4页Medical Recapitulate

摘　　要：腹盆腔非实质脏器起源性囊肿在临床工作中较为少见,早期一般无任何临床表现,只有在囊肿体积较大压迫邻近脏器时才会产生临床症状,尤以腹胀、腹痛不适等不完全性肠梗阻表现为主,部分患者可引起严重后果。体征上多以腹盆部活动度良好的囊性包块为主要表现,可采用腹部超声、CT、磁共振成像扫描等进行诊断,但单纯影像学检查有时不易辨别囊肿的确切部位或性质。部分患者必须经术中探查才能明确其起源,有时需要术中快速病理活检后才能确诊其性质。无症状者可定期观察,产生临床症者常需介入或手术治疗。该病预后良好,但易复发,需定期复查。The cysts originated from non-parenchyma viscera of abdomen and plevis is a rare disease in clinical work,and its early stage often is without any clinical symptom,when it′s larger and compresses the adjacent viscera,clinical symptoms,such as abdominal distension and abdominal pain and other incomplete intestinal obstruction symptoms,may oocure,and some serious consequences may happen in some patients.The main manifestations are cystic mass of abdomen and pelvis with good activity.The disease can be diagnosed by abdominal ultrasound,CT or magnetic resonance imaging,but sometimes simple imaging examination cannot identify the location and nature of the cysts.Intraoperative probe are needed for some patients to clarify its origin,and sometimes intraoperative rapid pathological biopsy is needed to identify its nature.Asymptomatic persons need to be observed regularly,intervention or surgery treatment are to be given once symptoms occur.The prognosis of the disease is good,but relapse may easily happen,so regular recheck is necessary.

关 键 词：腹腔囊肿 盆腔囊肿 非实质性脏器 

分 类 号：R656.4[医药卫生—外科学] R657.2[医药卫生—临床医学]