75例带蒂脂肪瘤所致肠梗阻的分析。

An analysis of 75 cases of intestinal obstruction caused by pedunculated lipomas.

作者信息

Edwards G B, Proudman C J

机构信息

Department of Clinical Veterinary Science, University of Liverpool, Leahurst, Neston, S. Wirral, UK.

出版信息

Equine Vet J. 1994 Jan;26(1):18-21. doi: 10.1111/j.2042-3306.1994.tb04324.x.

DOI:10.1111/j.2042-3306.1994.tb04324.x

PMID:8143657

Abstract

A retrospective study of 75 cases of pedunculated lipoma obstruction (PLO) of the intestine was conducted. Age, breed and sex distributions were compared to the non-PLO colic population. Horses in the PLO group were significantly older than in the non-PLO colic group (P < 0.001). A significant increase in risk of PLO was associated with geldings (O.R. 2.32) and with ponies (O.R. 3.75). Of the 75 PLO cases analysed, 69 were strangulating, 70 involved small intestine and 5 involved small colon. Cases of strangulation obstruction tended to have lipomas originating distant to the mesenteric border of the intestine. The short-term survival rate for PLO cases was 48%. Long-term survival rate was 38%. Lipoma weight of some of the PLO group was compared with that from an asymptomatic pedunculated lipoma (APL) group. The two weight distributions were significantly different (P < 0.001).

摘要

对75例带蒂脂肪瘤性肠梗阻（PLO）病例进行了回顾性研究。将年龄、品种和性别分布与非PLO绞痛群体进行了比较。PLO组的马匹明显比非PLO绞痛组的马匹年龄大（P < 0.001）。PLO风险的显著增加与去势公马（优势比2.32）和矮种马（优势比3.75）有关。在分析的75例PLO病例中，69例为绞窄性，70例累及小肠，5例累及小结肠。绞窄性梗阻病例的脂肪瘤往往起源于距肠系膜缘较远的部位。PLO病例的短期存活率为48%。长期存活率为38%。将部分PLO组的脂肪瘤重量与无症状带蒂脂肪瘤（APL）组的脂肪瘤重量进行了比较。两种重量分布有显著差异（P < 0.001）。