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頁籤選單縮合
題名 | Intra-Abdominal Cystic Lymphangiomas in Infancy and Childhood=腹內囊狀淋巴管瘤在嬰兒及小孩子的表現 |
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作者姓名(中文) | 駱至誠; 黃振盛; 趙舜卿; 朱世明; 薛純; | 書刊名 | 長庚醫學 |
卷期 | 27:7 2004.07[民93.07] |
頁次 | 頁509-514 |
分類號 | 417.554 |
關鍵詞 | 腹部超音波; 囊狀淋巴管瘤; 切除; Cystic lymphangioma; Ultrasound; Excision; |
語文 | 英文(English) |
中文摘要 | 背景:囊狀淋巴管瘤很少以腹內腫瘤來表現,而時常首腸系膜囊腫一起被討論。不過它們之滿因有不同的年紀和發生位置的表現,為了建立正確的診斷及治療的原則,我們報告本院5年間有關治療此病的經驗。 方法:從1998年1月至2003年12月,我們分析12位病人(包括7位男性5位女性,皆被診斷為腹內囊狀淋巴管瘤)。臨床表現,發生的位置,診斷的方式,手術的方法及病理檢查的結果是本研究分析的重點。 結果:12位病人的年齡分布在8天至6歲,其中7位以腹痛、腹脹、觸摸到腫塊,小便疼痛,甚至有以類似闌粑炎的急性痛等症獎來表現者。所有病人在術前都接受腹部超音波的檢查。手術當中,我們發現有5位的囊狀淋巴管瘤長在大網膜,5位長在腸系膜,餘2位長在後腹腔。所有長在大網膜的淋巴管瘤都可完全切除。有2位長在場系膜者要一併切除小腸,2位長在後腹腔的其中1位,有小部份的囊腫後壁要遺留在下腔靜脈上。所有病人無術後併發症,死亡或再發。 結論:腹內囊狀淋巴管瘤通常發生在年輕的小孩且有症狀;手術前的臨床表徵和腹部超音波檢查常可作為診斷的依據;完全的切除囊腫有時需要一併切除小腸可防止再發,長期追蹤顯示病人的預期不錯。 |
英文摘要 | Background: Cystic lymphangiomas (CL) rarely present as intra-abdominal masses. Abdominal CL is often discussed in conjunction with mesensteric cysts; however, their histology, location and age of presentation different significantly. In an attempt to establish a best diagnostic and treatment modality, we report our experience dealing with intra-abdominal CL during a 5-year period. Methods: Between January 1998 and December 2003, 12 patients, 7 boys and 5 girls, with a diagnosis of CL were reviewed. Modes of clinical presentation, location of CL, methods of diagnosis, surgical intervention and histological examination were all analyzed. Results: The ages of the 12 patients ranged from 8 days to 6 years. Eleven of the 12 patients were symptomatic with abdominal pain, abdominal distention or palpable mass, dysuria and severe acute abdominal pain mimicking appendicitis. Abdominal ultrasound was done preoperatively in all patients. At laparotomy, 5 CL were located in the omentum, 5 in the mesentery, and another 2 in the retroperitoneum. All omental CL were completely excised without difficulty. CL removal required resection of both the cyst and intestine in 2 patients. One of 2 trtropritoneal CL was removed with small areas of the posterior wall of the cyst remaining on the inferior evna cava (IVC). There were no major postoperative complications, deaths, or recurrence in this series. Conclusions: Intra-adbominal CL are usually involved in young children and are usually symptomiatic. A preoperative diagnosis is possible with ultrasound study. Complete excision of the cysts with or without intestinal resection is mandatory to prevent recurrence. The long-term prognosis is excellent. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。