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目的探讨小儿肠系膜乳糜囊肿的临床特点及诊治方法。方法回顾性分析我院1987～2003年经手术治疗及病理检查证实的6例小儿肠系膜乳糜囊肿的临床表现及治疗经过。结果本组男4例,女2例,年龄7个月～10岁(平均3岁10个月)。病程30h～2年,病程在7d以内4例。5例表现为急腹症,1例表现为慢性复发性腹痛。术中证实空肠系膜囊肿4例,回肠系膜囊肿2例,囊肿压迫肠管并发肠梗阻2例,并发肠扭转1例,并发乳糜腹2例。3例行囊肿及部分肠管切除吻合术,3例行单纯囊肿切除术,囊内液均呈乳糜状,苏丹Ⅲ染色及乳糜试验阳性。结论小儿肠系膜乳糜囊肿主要表现为腹痛伴腹腔囊性包块,常以急腹症为首发表现,手术切除囊肿及受累肠管预后良好。
Objective To investigate the clinical features and diagnosis and treatment of pediatric mesenteric chylomicrons. Methods A retrospective analysis of our hospital from 1987 to 2003 after surgery and pathology confirmed 6 cases of children with mesentery chyma cyst clinical manifestations and treatment. Results The group of 4 males and 2 females, aged 7 months to 10 years (mean 3 years and 10 months). Duration of 30h ~ 2 years, duration of less than 4 days in 7d. 5 cases showed acute abdomen, 1 case showed chronic recurrent abdominal pain. Intraoperative confirmation of mesenteric cyst in 4 cases, ileal mesorectum in 2 cases, cyst compression bowel obstruction in 2 cases, complicated by bowel torsion in 1 case, complicated by chylothorax in 2 cases. 3 cases of cyst and partial bowel resection and anastomosis, 3 cases of simple cyst excision, cystic fluid were chylous, Sudan Ⅲ staining and chylous test was positive. Conclusion The main manifestations of mesenteric chick cyst in children with abdominal pain with abdominal cystic mass, often with acute abdomen as the first performance, surgical removal of cysts and affected intestine prognosis is good.