论文部分内容阅读
目的总结腹部淋巴管瘤的诊断和治疗。方法回顾性分析中国医科大学附属第一医院2010年1月至2014年6月期间收治的21例腹部淋巴管瘤患者的临床资料。结果 21例患者中,行MRI检查1例,发现肝右叶下方长T1长T2信号团影;行腹部超声检查16例,发现腹部囊状无回声肿物15例;行腹部CT检查21例,均发现腹部囊性低密度肿物。21例患者术前诊断为腹部肿物18例,腹部淋巴管瘤3例。所有患者均行手术治疗,经术后病理学检查确诊。肿瘤均为单发囊性,单房13例,多房8例;肿瘤4 cm×3 cm×3 cm~30 cm×20 cm×10 cm大。术后19例患者获访,随访时间4~48个月,中位数为18个月。随访期间所有患者均未复发。结论腹部淋巴管瘤的术前诊断较困难,首选CT检查。手术切除是其首选治疗方式,肿瘤的完全切除是预防复发的关键。
Objective To summarize the diagnosis and treatment of lymphangioma in the abdomen. Methods The clinical data of 21 patients with lymphangioma of the abdomen who were admitted to the First Affiliated Hospital of China Medical University from January 2010 to June 2014 were retrospectively analyzed. Results Twenty-one patients underwent MR examination in one case and found the long T1 long T2 signal shadow under the right lobe of the liver. 16 cases underwent abdominal ultrasonography and abdominal cyst echo-free mass in 15 cases. The abdominal CT examination in 21 cases, Abdominal cystic low density tumors were found. Twenty-one patients had preoperative diagnosis of abdominal mass in 18 cases and abdominal lymphangioma in 3 cases. All patients underwent surgical treatment, confirmed by postoperative pathology. Tumors were single cystic, single room 13 cases, multiple rooms in 8 cases; tumor 4 cm × 3 cm × 3 cm ~ 30 cm × 20 cm × 10 cm large. Nineteen patients were followed up for 4-48 months with a median of 18 months. All patients did not relapse during follow-up. Conclusion Abdominal lymphangioma preoperative diagnosis is more difficult, the preferred CT examination. Surgery is the treatment of choice, complete tumor resection is the key to preventing recurrence.