儿童大网膜囊肿26例临床病例资料分析  

The analysis of 26 cases with omental cyst in children

作　　者：汤永辉 姜斌[1] 陈吉 黄磊 TANG Yong-hui;JIANG Bin;CHEN Ji;HUANG Lei(Department of General Surgery,Children′s Hospital of Nanjing Medical University,Nanjing 210008,Jiangsu,China)

机构地区：[1]南京医科大学附属儿童医院普外科,南京210008

出　　处：《东南国防医药》2020年第4期381-384,共4页Military Medical Journal of Southeast China

摘　　要：目的对近8年收治的大网膜囊肿患儿的临床资料进行总结和分析,以进一步提高对儿童大网膜囊肿的诊断、鉴别以及治疗水平。方法回顾性分析南京医科大学附属儿童医院普外科2010年1月至2018年12月收治的大网膜囊肿患儿26例的临床资料,分析其临床表现、术前诊断率、手术治疗方式、术后病理结果、并发症以及随访等情况,评价治疗效果。结果26例患儿术前临床表现中腹痛占46.2%(12例),腹部包块占34.6%(9例),腹胀占15.4%(4例),严重出血占3.8%(1例),术前B超和(或)CT的诊断率为80.8%(21例),手术采用腹腔镜手术(6例)和开腹手术(20例)两种方式,术后病理提示为大网膜囊肿(淋巴管瘤),其中合并出血16例,炎性细胞浸润10例。随访3个月至2年,所有患儿恢复良好,未出现复发。结论大网膜囊肿主要临床表现为腹痛、腹胀、腹部包块等,严重者可能出现扭转、出血以及破裂等急腹症表现,术前主要借助B超以及CT检查,手术切除治疗预后良好,需定期复查。Objective To summarize and analyze the clinical data of children with omental cyst in recent eight years,so as to further improve the level of the clinic diagnosis,differentiation and treatment of children with omental cyst.Methods The general information,clinic manifestations,diagnosis,treatment and follow-up of 26 cases with omental cysts in General Surgery Department of Children's Hospital Affiliated to Nanjing Medical University from January 2010 to December 2018 were summarized.The clinical manifestations,preoperative diagnosis rate,surgical treatment,postoperative pathological results,complications and follow-up were analyzed.And the therapeutic effect was evaluated.Results The symptom of abdominal pain accounted for 46.2%(12 cases),abdominal mass for 34.6%(9 cases),abdominal distension for 15.4%(4 cases)and severe bleeding for 3.8%(1 cases).The preoperative diagnosis rate was about 80.8%(21 cases)by B ultrasound and CT examination.Laparoscopic surgery(6 cases)and laparotomy(20 cases)were used in the operation.The postoperative pathology showed that there were omental cyst(lymphangioma),including 16 cases with hemorrhage and 10 cases with inflammatory cell infiltration.Follow up of 3 months to 2 years showed that all patients recovered well without recurrence.Conclusion The manifestations of the children′s omental cyst included abdominal pain,abdominal distension andabdominal mass,while the serious manifestations were torsion,hemorrhage and rupture.The children′s omental cyst was diagnosed by B ultrasound and CT examination,and should be removed through operation.Although the prognosiswas good,it should be follow-up.

关 键 词：大网膜囊肿 儿童 诊断 治疗 

分 类 号：R657.2[医药卫生—外科学]