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肠气囊肿的病因及治疗天津大学医院（３０００７２）张颖，史念珂山西省肿瘤医院张聪肠气囊肿病最早是由ＤｕＶｅｒａｏｙ于１７３０年报道的，常发生在回肠终端及结肠。我们通过一例典型病例就其病因和治疗探讨如下：病例摘要男，４４岁，因全腹胀痛伴消瘦１月余来诊。既往稀便史十余年。于１９９１年１月１５ＨＸ线腹部透视发现升结肠串珠状囊性透亮区约１０厘米，钡餐造影见多个园形充盈性缺损。１月２２日纤维结肠镜检查见肝区到距回盲部６厘米升结肠段多见葡萄状、半透明物，表面光滑。诊断为肠气囊肿病。服用Ｂ族维生素等治疗，腹部症状渐消失。１个半月后纤维结肠镜复查病变肠段，见其粘膜光滑，血管网清楚，无任何病变痕迹。Ｘ线复查亦无异常发现。随访３个月，一段情况良好。讨论一、病因分析：关于本病的学说很多，现简述如下。１．细菌学说：１９７１年Ｙａｌｅ等对无菌小鼠绞窄肠伴注射细菌进行了一系列的试验，发现有两种产气荚膜杆菌（Ｃ·ｐｅｒｆｒｉｎｇｅｎｓ和Ｃ·ｔｅｒｔｉｕｍ）可以导致肠气囊肿病。由此厌氧菌致病理论得到了人们的重视，致病原因可能为厌氧菌发酵糖类产生过多氮气弥散入肠壁内。２．机械学说：是目前最推崇理论。囊肿内有气体主要来自二方面：（１）慢性肺部疾
Etiology and treatment of intestinal cysts Tianjin University Hospital (300072) Zhang Ying, Shi Nianke Shanxi Cancer Hospital Zhang Cong intestinal aetiology was first reported by DuVeraoy in 1730, often occurs in the terminal ileum and colon. We pass a typical case of etiology and treatment of the following discussion: Summary of cases Male, 44 years old, due to abdominal pain with weight loss more than 1 month visit. Past history of loose loose more than ten years. In January 1991 15HX line abdomen found that ascending colon beaded cystic translucent area of about 10 cm, barium meal angiography see multiple circular filling defect. January 22 fiber colonoscopy see the liver to 6 cm away from the ileocecal colon more common grape-like, translucent, smooth surface. Diagnosis of intestinal cyst disease. Taking B vitamins and other treatment, abdominal symptoms gradually disappear. 1 and a half months after colonoscopy colonoscopy lesions, see the mucosa smooth, clear vascular network, without any signs of disease. X-ray examination also found no abnormalities. Follow-up 3 months, a period of good condition. Discussion First, the etiology analysis: a lot of theory about the disease, are summarized as follows. 1. Bacteriological theory: In 1971, Yale et al. Conducted a series of experiments on sterilized mouse colonization with injectable bacteria and found that two kinds of C. perfringens and C. tertium could cause enteric cystosis. The anaerobic pathogenesis has been the people’s attention, the cause may be due to anaerobic fermentation of sugar produced too much nitrogen diffusion into the intestinal wall. 2. Mechanical theory: is the most respected theory. Cysts have gas mainly from two aspects: (1) chronic lung disease