国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2010年
7期
460-463
,共4页
肠系膜%纤维瘤病%诊断%治疗
腸繫膜%纖維瘤病%診斷%治療
장계막%섬유류병%진단%치료
Mesentery%Fibromatosis%Diagnosis%Therapy
目的 总结肠系膜纤维瘤病诊断及治疗方法.方法 回顾性分析1983年5月-2009年3月北京协和医院收治11例肠系膜纤维瘤病的临床表现、治疗方法和随访结果.结果 9例以腹部肿块为首发症状,2例为术中偶然发现肿块,3例术前被误诊为平滑肌肉瘤,1例误诊为神经鞘瘤,1例误诊为淋巴瘤.本组11例均行手术治疗,均经术后病理学诊断证实肠系膜纤维瘤病,患者均近期痊愈.经7～72个月随访,2例复发,其余9例未发现肿瘤复发征象.结论 肠系膜纤维瘤病早期诊断较困难,术前误诊牢高,彻底切除肿瘤是唯一可靠的根治方法.
目的 總結腸繫膜纖維瘤病診斷及治療方法.方法 迴顧性分析1983年5月-2009年3月北京協和醫院收治11例腸繫膜纖維瘤病的臨床錶現、治療方法和隨訪結果.結果 9例以腹部腫塊為首髮癥狀,2例為術中偶然髮現腫塊,3例術前被誤診為平滑肌肉瘤,1例誤診為神經鞘瘤,1例誤診為淋巴瘤.本組11例均行手術治療,均經術後病理學診斷證實腸繫膜纖維瘤病,患者均近期痊愈.經7～72箇月隨訪,2例複髮,其餘9例未髮現腫瘤複髮徵象.結論 腸繫膜纖維瘤病早期診斷較睏難,術前誤診牢高,徹底切除腫瘤是唯一可靠的根治方法.
목적 총결장계막섬유류병진단급치료방법.방법 회고성분석1983년5월-2009년3월북경협화의원수치11례장계막섬유류병적림상표현、치료방법화수방결과.결과 9례이복부종괴위수발증상,2례위술중우연발현종괴,3례술전피오진위평활기육류,1례오진위신경초류,1례오진위림파류.본조11례균행수술치료,균경술후병이학진단증실장계막섬유류병,환자균근기전유.경7～72개월수방,2례복발,기여9례미발현종류복발정상.결론 장계막섬유류병조기진단교곤난,술전오진뢰고,철저절제종류시유일가고적근치방법.
Objective To investigate the diagnosis and treatment of mesenteric fibromatosis.Methods We analyzed retrospectively the clinical data including clinical manifestation,treatment and follow-up results of the mesenteric fibromatosis in 11 cases.ResultsNine patients presented with abdominal mass.Two cases were found during other operation occasionally.Before operation,3 cases were misdiagnosed as leiomyosarcoma,1 case as malignant neurilemmoma,1 case as lymphoma.All patients were underwent surgical resection,and were diagnosed as mesenteric fibromatosis by pathology.Following-up,from 7 months to 72 months,2 cases relapsed.Conclusions The clinical feature of mesenteric fibromatosis is nonspecific.It is difficult to make correct diagnosis preoperatively.Surgical resection is the first choice for cure of patients with mesenteric fibromatosis.
