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[1980 - 1986年丹麦的肠系膜囊肿]

[Mesenteric cysts in Denmark in 1980-86].

作者信息

Jensen V J, Hvid-Jacobsen K

出版信息

Ugeskr Laeger. 1989 Mar 6;151(10):631-2.

PMID:2922834
Abstract

On the basis of a material of mesenteric cysts from a period of six years in all Denmark, the symptomatology, diagnosis and treatment of mesenteric cysts (MC) are described. These cysts are rare: approximately one par 130,000 somatic admissions. Mesenteric cysts may be encountered along the entire gastro-intestinal canal from the duodenum to the rectum but are, however, most frequent in the mesentery of the small intestine. The symptoms were variable and depended upon the site, mobility, tension on the mesentery, the complications and, to a lesser extent, on the size. Ultrasonic scanning was the most important diagnostic aid. 5% of the cysts contained chyle and up to one third of these are stated to be malignant. Computed tomographic scanning is recommended preoperative as the density can reveal whether the content is chylous. Enucleation of mesenteric cysts would be attempted but, in cases of large cysts which prove difficult to resect, internal marsupialization may be employed. Material with low frequencies of recurrence and few complications have been presented employing this therapeutic method.

摘要

基于丹麦六年内肠系膜囊肿的病例资料,对肠系膜囊肿(MC)的症状、诊断及治疗进行了描述。这些囊肿较为罕见:在所有躯体疾病住院病例中,大约每130,000例中有1例。肠系膜囊肿可出现在从十二指肠到直肠的整个胃肠道沿线,但最常见于小肠系膜。症状多样,取决于囊肿的位置、活动度、对系膜的张力、并发症,在较小程度上还取决于囊肿大小。超声扫描是最重要的诊断辅助手段。5%的囊肿含有乳糜,其中高达三分之一被认为是恶性的。建议术前进行计算机断层扫描,因为其密度可显示内容物是否为乳糜性。会尝试对肠系膜囊肿进行摘除,但对于难以切除的大囊肿,可采用内袋形缝术。采用这种治疗方法的病例复发率低且并发症少。

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