CAJ | 학술논문

目的探讨肠系膜淋巴管瘤的手术方式.方法收集我院2006年至2011年经手术病理证实的9例小儿肠系膜淋巴管瘤的临床资料,回顾性分析其临床表现、影像学特点及手术方式.结果 9例均行手术治疗,其中2例行完整瘤体切除术,3例行劈开瘤体分块完全切除术,4例行瘤体并肠管切除肠吻合术.8例术后恢复顺利,近期并发症1例为乳糜腹,远期并发症1例为粘连性肠梗阻,经保守治疗后治愈.随访3～59个月均无瘤体复发,生长发育正常.结论肠系膜淋巴管瘤的生长方式有两种,局限性生长和浸润性生长.手术切除为首选治疗方式,根据生长方式选择相应的手术方式,对于浸及肠系膜根部的淋巴管瘤,采用瘤体劈开,分块完全切除效果良好.
목적 탐토장계막림파관류적수술방식.방법 수집아원2006년지2011년경수술병리증실적9례소인장계막림파관류적림상자료,회고성분석기림상표현、영상학특점급수술방식.결과 9례균행수술치료,기중2례행완정류체절제술,3례행벽개류체분괴완전절제술,4례행류체병장관절제장문합술.8례술후회복순리,근기병발증1례위유미복,원기병발증1례위점련성장경조,경보수치료후치유.수방3～59개월균무류체복발,생장발육정상.결론 장계막림파관류적생장방식유량충,국한성생장화침윤성생장.수술절제위수선치료방식,근거생장방식선택상응적수술방식,대우침급장계막근부적림파관류,채용류체벽개,분괴완전절제효과량호.
Objective To analyze surgical treatment for mesenteric lymphangiomas in children.Methods Nine patients with mesenteric lymphangiomas were identified in our hospital from 2006 to 2011.Their clinical manifestations,imaging features and subsequent surgical management were retrospectively analysed.Results All patients underwent surgery.Two had complete tumor resection,three had staged excision,and the remaining four received combined tumor-intestinal resection with intestinal anastomosis.Eight patients had good initial recovery.One developed post-operative chylus ascites.Another returned with adhesive intestinal obstruction in the long term.Both recovered after conservative treatment.No lymphangioma recurred after a follow-up of between 3 to 59 moths.Conclusions Mesenteric lymphangiomas grow in two patterns,localized and infiltrative.Surgical resection remains the treatment of choice.Depending on the growth pattern,staged approach resection is also effective for treating infiltrative tumors.