Duca S, Cazacu M, Vlad L, Paraian I, Iancu C, Toganel D, Rusu C
3rd Surgical Clinic, University of Medicine and Pharmacy, Cluj, Romania.
Acta Chir Belg. 1993 Jan-Feb;93(1):18-24.
A group of 35 patients with nonparasitic abdominal serous cysts is reviewed in order to investigate the diagnostic and therapeutic features of these rare conditions. In most cases the cysts were localised in the liver. Other localisations were the kidney (9 cases), the mesenteric area (2 cases), the adrenals (2 cases), the spleen and the pancreas (one case each). The clinical symptoms were essentially determinated by the size of the cysts, regardless their visceral localisation. Ultrasonography was the most efficient procedure for their detection, although this method's precision for the visceral localisation of the cysts was not entirely reliable (6 errors). The low incidence of such abnormalities as well as the absence of any relevant diagnostic elements for establishing the nonparasitic character of the cysts, favoured the confusions with nonproliferous hydatid cysts, especially in cases of solitary cysts (7 patients). The most frequently used surgical procedures were partial cystectomy (18 cases) and total cystectomy (8 cases). A personal technique based on obliteration of the cavity with the bulging wall of the cysts, was used in two patients. When choosing the surgical procedure, the size, site and number of cysts were considered. Immediate and late postoperative results were very good.
为了研究这些罕见病症的诊断和治疗特点，我们回顾了一组35例非寄生虫性腹部浆液性囊肿患者。大多数情况下，囊肿位于肝脏。其他部位包括肾脏（9例）、肠系膜区域（2例）、肾上腺（2例）、脾脏和胰腺（各1例）。临床症状主要由囊肿大小决定，与囊肿所在脏器部位无关。超声检查是检测这些囊肿最有效的方法，不过该方法对囊肿脏器定位的准确性并非完全可靠（有6处错误）。此类异常的发生率较低，且缺乏用于确定囊肿非寄生虫性质的相关诊断依据，这使得与非增殖性包虫囊肿容易混淆，尤其是在孤立性囊肿的病例中（7例患者）。最常用的手术方法是部分囊肿切除术（18例）和全囊肿切除术（8例）。两名患者采用了一种基于用囊肿膨出壁闭塞囊腔的个人技术。选择手术方法时，会考虑囊肿的大小、位置和数量。术后近期和远期效果都非常好。
