腹腔镜治疗正中弓状韧带综合征
Laparoscopic management of the median arcuate ligament syndrome.
作者信息
Nguyen Tam, Neale Michael, Lane Rodney, Schiavone Vivienne, Samra Jaswinder S, Hugh Thomas J
机构信息
Royal North Shore Hospital, Department of Vascular Surgery, University of Sydney, St Leonards, New South Wales, Australia.
出版信息
ANZ J Surg. 2012 Apr;82(4):265-8. doi: 10.1111/j.1445-2197.2011.05966.x. Epub 2012 Feb 16.
BACKGROUND
The median arcuate ligament syndrome (MALS) is an infrequent cause of abdominal pain. This diagnosis is made after exclusion of other more common causes of upper abdominal symptoms. Mesenteric duplex and a computerized tomography mesenteric angiography demonstrate dynamic compression of the coeliac axis during expiration.
METHODS
Retrospective analysis of presenting symptoms, preoperative findings and postoperative outcomes.
RESULTS
Five consecutive patients who underwent laparoscopic division of the median arcuate ligament over a 4-year period (2006-2010) are presented. This procedure was associated with low morbidity and complete relief of symptoms in all patients.
CONCLUSION
A minimally invasive procedure is the treatment of choice in selected patients with MALS.
背景
正中弓状韧带综合征（MALS）是腹痛的罕见病因。该诊断是在排除其他更常见的上腹部症状病因后做出的。肠系膜双功超声和计算机断层扫描肠系膜血管造影显示呼气时腹腔干受到动态压迫。
方法
对临床表现、术前检查结果及术后结局进行回顾性分析。
结果
介绍了2006年至2010年4年间连续5例行腹腔镜下正中弓状韧带松解术的患者。该手术并发症发生率低，所有患者症状均完全缓解。
结论
对于选定的MALS患者，微创手术是首选治疗方法。
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