CAJ | 학술논문

目的分析小肠淋巴管扩张症的临床表现、影像学特征及治疗方法,为早期的诊断及治疗提供临床依据.方法自2005年7月至2009年11月共收集了20例小肠淋巴管扩张症的病人的临床资料进行回顾性研究,根据有无诱发小肠淋巴管扩张的病因分为原发组和继发组,分析两组的一般情况、临床表现、实验室结果、治疗方法等.结果临床表现以双下肢水肿(14例)、乳糜腹(10例)、腹泻(12例)、腹痛(3例)、消化道出血(1)例.实验室结果低蛋白血症(18例),淋巴细胞计数降低(16例),经治疗中链三酰甘油治疗后,症状好转13例,1例部分缓解,4例无效,2例放弃治疗.结论原发性和继发性小肠淋巴管扩张症实验室结果统计学无差异;原发组较继发组疾病程度较轻;治疗以中链三酰甘油为主.
목적분석소장림파관확장증적림상표현、영상학특정급치료방법,위조기적진단급치료제공림상의거.방법자2005년7월지2009년11월공수집료20례소장림파관확장증적병인적림상자료진행회고성연구,근거유무유발소장림파관확장적병인분위원발조화계발조,분석량조적일반정황、림상표현、실험실결과、치료방법등.결과림상표현이쌍하지수종(14례)、유미복(10례)、복사(12례)、복통(3례)、소화도출혈(1)례.실험실결과저단백혈증(18례),림파세포계수강저(16례),경치료중련삼선감유치료후,증상호전13례,1례부분완해,4례무효,2례방기치료.결론원발성화계발성소장림파관확장증실험실결과통계학무차이;원발조교계발조질병정도교경;치료이중련삼선감유위주.
Objective To provide the clinical evidence by analyzing clinical manifestations, imaging features and treatment for early diagnosis and therapy of intestinal lymphangiectasia .Methods From Jul.2005 to Dec 2009,twenty cases of intestinal lymphangiectasia were admitted, and they are classified into two groups according to whether it is primary or secondary intestinal lymphangiectasia their clinical information imaging features and treatment method were retrospectively reviewed. Results The main clinical manifestations were edema of both lower(14 cases), chyloperitoneum(10cases), diarrhea(12cases),abdominal pain(3cases),gastrointestinal hemorrhage(1cases). Laboratory results shows hypoproteinemia(18cases), lower ANAE(16cases) .Clinical therapy by using medium chain triglycerides,13cases cured, 1cases partly cured ,4cases failure,2 cases give up therapy. Conclusions There was no statistical significance between the primary and secondary intestinal lymphangiectasia in laboratory results;The primary group is milder than the secondary group;The main therapy is medium chain triglycerides