吉林大学学报(医学版) ›› 2015, Vol. 41 ›› Issue (01): 172-174.doi: 10.13481/j.1671-587x.20150134

• 临床医学 • 上一篇    下一篇

腹茧症的诊断和治疗1例报告及文献复习

李田田, 杨岚岚, 贾胜男, 金珍婧   

  1. 吉林大学第二医院消化内科, 吉林 长春 130041
  • 收稿日期:2014-10-15 发布日期:2015-01-30
  • 通讯作者: 金珍婧,教授,硕士研究生导师(Tel:0431-88975634,E-mail:jinyu0429@sina.com) E-mail:jinyu0429@sina.com
  • 作者简介:李田田(1990-),男,山东省临沂市人,在读医学硕士,主要从事消化系统疾病诊治方面的研究。
  • 基金资助:

    吉林省科技厅科研基金资助课题(2013c026-1)

A case report of diagnosis and treatment of abdominal cocoon and literature review

LI Tiantian, YANG Lanlan, JIA Shengnan, JIN Zhenjing   

  1. Department of Gastroenterology, Second Hospital, Jilin University, Changchun 130041, China
  • Received:2014-10-15 Published:2015-01-30

摘要:

目的: 探讨1例腹茧症病例的临床特点、诊治经验和规范化诊疗流程,并就腹茧症患者的诊断和治疗进行文献复习。方法: 本例患者通过立位腹平片、腹部CT和消化道造影等检查进行消化系统疾病的早期诊断,并及时进行手术治疗和术后病理诊断。结果: 本例患者经影像学检查后及时行开腹手术探查,术中缝合小肠穿孔处肠管,钝锐结合分离小肠表面多处较硬纤维束。术后患者恢复良好,术后病理诊断为腹茧症。结论: 对临床可疑腹茧症的肠梗阻患者进行立位腹平片及腹部CT等影像学检查可明显提高腹茧症的术前诊断率,结合患者症状和体征及时行手术治疗,可挽救患者生命。

关键词: 腹茧症, 肠穿孔, 早期诊断, 治疗

Abstract:

Objective To explore the clinical characteristics, diagnosis and treatment experience, and standardization of diagnosis of 1 case of abdominal cocoon, and to review the literature about diagnosis and treatment of abdominal cocoon. Methods Early diagnosis of digestive diseases was performed with abdominal plain film, gastrointestinal angiography and abdominal CT examination, and surgical treatment and postoperative pathological diagnosis were in time. Results The patient was treated with open operation, intraoperative suture of small bowel perforation bowel, and blunt sharp separation combined with small intestine surface hard cellulose;patient recovered well postoperatively;the postoperatively pathological diagnosis was abdominal cocoon. Conclusion The diagnosis for the patients with suspected abdominal cocoon the postoperatively pathological could depend on the imaging examination such as abdominal plain film or CT combination with symptoms and signs, and surgical treatment timely is an effective method, which can save the patient's life.

Key words: abdominal cocoon, intestinal perforation, early diagnosis, treatment

中图分类号: 

  • R574