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腹部淋巴管瘤的诊断和治疗

The Diagnosis and Treatment of Abdominal Lymphangiomas(LA)

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【作者】 李建军郭怀虎刘小平陈凛李荣

【Author】 LI Jian-jun, GUO Huai-hu, LIU Xiao-ping, et al. Department of General Surgery, the First People Hospital, Ningyang 271400

【机构】 宁阳第一人民医院普通外科中国人民解放军总医院普外科中国人民解放军总医院普外科 271400 山东宁阳271400 山东宁阳100853 北京

【摘要】 目的:总结腹部淋巴管瘤(LA)的临床及影像学特点,提高对该病的诊治水平。方法:回顾性分析近年来15例腹部淋巴管瘤的临床和影像学资料,并对文献复习总结。结果:均行影像学检查,单发11例,多发4例;发生在腹腔内9例,腹膜后4例,腹壁1例,多部位多发1例。手术切除13例,手术前后诊断符合率为30.77%,完整切除者术后无复发。结论:LA诊断主要依靠影像学检查,细针穿刺有助于提高LA的诊断。手术完整切除为治疗首选,多发者根据实际情况采取综合治疗措施。

【Abstract】 Objective: To study the clinical and imaging features of abdominal Lymphangiomas (LA) and improve the level of the diagnosis and treatment of this disease. Methods:The clinical and abdominal imaging data of 15 patients with abdominal lymphangi-omas were analyzed retrospectively and the related literatures were reviewed. Results: All patients underwent image examinations, 11 were solitary cysts and 4 were multiple cysts;9 were located in the intra-abdominal organs ,4 in retroperitoneum and 1 in the abdominal wall and 1 were multiple LA ( MLA) involving the thoracic, intra-abdominal organs and retroperitoneum components. 13 underwent excision, the preoperation accurate diagnosis rate was 30. 77% ,12 were performed complex excision and no recurrence. Conclusion: The diagnosis of abdominal LA were depended on image examinations, fine noodle aspiration were helpful to its diagnosis. complete excision is the first choice in the treatment, and the MLA should be treated by comprehensive measures.

【关键词】 腹部淋巴管瘤诊断影像学
【Key words】 AbdominalLymphangiomaDiagnosisImage
  • 【文献出处】 临床肿瘤学杂志 ,Chinese Clinical Oncology , 编辑部邮箱 ,2003年06期
  • 【分类号】R735
  • 【被引频次】21
  • 【下载频次】244
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