国人特发性收缩性肠系膜炎47例
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顾国利, 王石林, 周晓武
收缩性;硬化性;肠系膜炎;肠系膜型Weber-Christian病;肠系膜型脂膜炎;诊断;治疗,顾国利,王石林,周晓武,通讯作者,Clinicalcharacteris
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顾国利, 王石林, 周晓武, 空军总医院普通外科 北京市 100036
通讯作者: 顾国利, 100036, 北京市海淀区阜成路30号, 空军总医院普通外科. kzggl@163.com
电话: 010-68410099-6302
收稿日期: 2006-04-13 接受日期: 2006-04-27
Clinical characteristics of Chinese retractile mesenteritis: an analysis of 47 cases
Guo-Li Gu, Shi-Lin Wang, Xiao-Wu Zhou
Guo-Li Gu, Shi-Lin Wang, Xiao-Wu Zhou, Department of General Surgery, General Hospital of Chinese PLA Air force, Beijing 100036, China
Correspondence to: Guo-Li Gu, Department of General Surgery, General Hospital of Chinese PLA Air force, Beijing 100036, China. kzggl@163.com
Received: 2006-04-13 Accepted: 2006-04-27
Abstract
AIM: To summarize the clinical characteristics of Chinese retractile mesenteritis.
METHODS: Three patients diagnosed with retractile mesenteritis in our hospital and 44 ones reported in 33 articles were concluded in this study. The clinical data, including the ages, sex, predisposing factors, clinical manifestations, diagnosis and treatment, locations and sizez of the lesions, and prognosis, were analyzed.
RESULTS: Chinese retractile mesenteritis mainly occurred in middle-aged and old patients (mean age: 46 ± 18), among which the male and females covered an equivalent proportion. Its dominant symptoms were bellyache and celiac mass. The mean value of long diameter was more than 5 cm (mean: 8.5 ± 3.5 cm) in majority. The focus located in the mesentery of small intestine most frequently, then came to ascending colon, transverse colon, descending colon sigmoid colon and epiploon, orderly.
CONCLUSION: Non-specific symptoms and physical signs lead to a high rate of misdiagnosis in patients of retractile mesenteritis ......
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