CAJ | 학술논문

目的总结腹膜后淋巴管瘤的临床及影像学特点,提高对该病的诊治水平.方法回顾性分析经病理证实的11例腹膜后淋巴管瘤的临床和影像学资料.其中男7例,女4例,年龄6～57岁,平均42岁.患者均无特征性临床表现,B超和CT均表现为边缘光整的囊性肿块.其中单房囊肿7例,多房囊肿4例.术前仅有1例患者经B超引导下穿刺抽液而确诊.结果 11例均行手术完整切除肿瘤,其中9例行开放手术,2例行后腹腔镜下切除肿瘤.全组均病理证实为(腹膜后)淋巴管瘤,随访8个月～12年未见复发.结论腹膜后淋巴管瘤由于临床上无特异性表现而易漏诊和误诊,诊断主要依靠影像学检查,细针穿刺有助于提高腹膜后淋巴瘤的诊断,手术完整切除是治疗首选.
목적 총결복막후림파관류적림상급영상학특점,제고대해병적진치수평.방법 회고성분석경병리증실적11례복막후림파관류적림상화영상학자료.기중남7례,녀4례,년령6～57세,평균42세.환자균무특정성림상표현,B초화CT균표현위변연광정적낭성종괴.기중단방낭종7례,다방낭종4례.술전부유1례환자경B초인도하천자추액이학진.결과 11례균행수술완정절제종류,기중9례행개방수술,2례행후복강경하절제종류.전조균병리증실위(복막후)림파관류,수방8개월～12년미견복발.결론 복막후림파관류유우림상상무특이성표현이역루진화오진,진단주요의고영상학검사,세침천자유조우제고복막후림파류적진단,수술완정절제시치료수선.
Objective To study the clinical and imaging features of retropefitoneal lymphangio-ma and improve the level of the diagnosis and treatment of the disease. Methods The clinical and ima-ging data of 11 patients (7 males and 4 femals) with retroperitoneal lymphangioma proved pathologically were analyzed retrospectively. Their age ranged from 6 to 57 years with a mean of 42 years. All patients presented no special clinical manifestation. Uhrasonography and CT scan showed smoothly margined cyst-ic masses. Seven cases were unilocular and 4 cases were muhilocular. Preoperative definite diagnosis was made in only 1 case by ultrasonography - guided percutaneous catheter drainage of the lymphangioma. Results All the patients were performed complex excision. Open excision was carried out in 9 cases and retroperitoneal laparoscopic excision in 2 cases. The diagnosis of all cases was confirmed by pathologic studies. There was no recurrence during the follow - up 8 mouths to 12 years. Conclusions Retropefito-neal lymphangioma is often delayed or missed diagnosis due to its unspecific clinical presentation. The di-agnosis depends on image examinations, fine noodle aspiration is helpful to its diagnosis. Complete exci-sion is the first choice in the treatment.