• 大連醫(yī)科大學(xué)附屬第二醫(yī)院普外三科(遼寧大連 116027);

目的 探討腹膜后囊性淋巴管瘤的CT診斷價(jià)值和治療方法。方法 回顧性分析2004年6月至2010年5月期間我院收治的5例經(jīng)病理檢查證實(shí)的腹膜后囊性淋巴管瘤患者的臨床表現(xiàn)、CT影像特征、手術(shù)治療及術(shù)后隨訪的資料。結(jié)果 5例患者術(shù)前CT均診斷為囊性淋巴管瘤,均行手術(shù)完整切除腫瘤,術(shù)后病理結(jié)果均證實(shí)為囊性淋巴管瘤。術(shù)后7 d順利出院,隨訪3個(gè)月~6年均無(wú)復(fù)發(fā)。結(jié)論 CT對(duì)腹膜后囊性淋巴管瘤的診斷具有重要意義,手術(shù)完整切除整個(gè)囊壁是治療及預(yù)防術(shù)后復(fù)發(fā)的最好方法。

引用本文: 何勇,梁銳,高振明,王立明. 腹膜后囊性淋巴管瘤的CT診斷及治療(附5例報(bào)道). 中國(guó)普外基礎(chǔ)與臨床雜志, 2010, 17(12): 1304-1305. doi: 復(fù)制

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1. Shaffer K, Rosado-de-Christenson ML, Patz Jr EF Jr, et al. Thoracic lymphangioma in adults: CT and MR imaging features [J]. AJR Am J Roentgenol, 1994; 162(2): 283-286.
2. 胡少平, 宋淮, 周立強(qiáng), 等. 腹膜后巨大囊性淋巴管瘤1例分析 [J]. 中國(guó)誤診學(xué)雜志, 2008; 8(34): 8535-8536.
3. 陳泓磊, 陳創(chuàng)奇, 陳正煊, 等. 腹膜后巨大囊性淋巴管瘤1例報(bào)道 [J]. 中國(guó)普外基礎(chǔ)與臨床雜志, 2009; 16(2): 91.
4. Rekhi BM, Esselstyn CB Jr, Levy I, et al. Retroperitoneal cystic lymphangioma. Report of two cases and review of the literature [J]. Cleve Clin Q, 1972; 39(3): 125-128..
5. Erdem S, Iskender C, Avsar AF, et al. Benign cystic lymphangioma presenting as a pelvic mass [J]. J Obstet Gynaecol Res, 2006; 32(6): 628-630.
6. Molitch HI, Unger EG, Witte CI, et al. Percutaneous sclerotherapy of lymphangiomas [J]. Radiology, 1995; 194(2): 343-347.
7. Fisher D, Hiller N. Case report: giant tuberculous cystic lymphangioma of posterior mediastinum, retroperitanea and groin [J]. Clini Radiol, 1994; 49(3): 215-216.
8. Dubois I, Gare L, Abela A, et al. Lymphanginomas in childrea: percutaneous sclerotherapy with an alcoholic solution of zein [J]. Radiology, 1997; 204(3): 651-654..
9. Wadsworth DT, Nenman B, Abramson SJ, et al. Splenic lymphangiomatosis in children [J]. Radiology, 1997; 202(1): 173-176.
10. Salimi Z, Fishbein M, Wolverson MK, et al. Pancreatic lymphanginoma: CT, MRI and angiographic features [J]. Gastrointest Radiol, 1991; 16(3): 248-250.
11. 俞同福, 王德杭, 虞梅玲, 等. 囊性淋巴管瘤的CT診斷 [J]. 實(shí)用放射學(xué)雜志, 2004; 20(4): 361-363.
12. de Perrot M, Rostan O, Morel P, et al. Abdominal lymphangioma in adults and children [J]. Br J Surg, 1998; 85(3): 395-397.
13. Rothenberg SS, Pokorny WJ. Use of argon beam ablation and sclerotherapy in the treatment of a case of life-threatening total abdominal lymphangiomatosis [J]. J Pediatr Surg, 1994; 29(2): 322-323.
14. Shahriari A, Odell JA. Cervical and thoracic components of multiorgan lymphangiomatosis managed surgically [J]. Ann Thorac Surg, 2001; 71(2): 694-696.
15. Aneeshkumar MK, Kale S, Kabbani M, et al. Cystic lymphangioma in adults: can trauma be the trigger? [J]. Eur Arch Otorhinolaryngol, 2005; 262(4): 335-337.
16. 王海濤, 董雋, 宋勇, 等. 腹膜后囊性淋巴管瘤的診斷與治療 [J]. 中華泌尿外科雜志, 2005; 26(6): 419-421.
  1. 1. Shaffer K, Rosado-de-Christenson ML, Patz Jr EF Jr, et al. Thoracic lymphangioma in adults: CT and MR imaging features [J]. AJR Am J Roentgenol, 1994; 162(2): 283-286.
  2. 2. 胡少平, 宋淮, 周立強(qiáng), 等. 腹膜后巨大囊性淋巴管瘤1例分析 [J]. 中國(guó)誤診學(xué)雜志, 2008; 8(34): 8535-8536.
  3. 3. 陳泓磊, 陳創(chuàng)奇, 陳正煊, 等. 腹膜后巨大囊性淋巴管瘤1例報(bào)道 [J]. 中國(guó)普外基礎(chǔ)與臨床雜志, 2009; 16(2): 91.
  4. 4. Rekhi BM, Esselstyn CB Jr, Levy I, et al. Retroperitoneal cystic lymphangioma. Report of two cases and review of the literature [J]. Cleve Clin Q, 1972; 39(3): 125-128..
  5. 5. Erdem S, Iskender C, Avsar AF, et al. Benign cystic lymphangioma presenting as a pelvic mass [J]. J Obstet Gynaecol Res, 2006; 32(6): 628-630.
  6. 6. Molitch HI, Unger EG, Witte CI, et al. Percutaneous sclerotherapy of lymphangiomas [J]. Radiology, 1995; 194(2): 343-347.
  7. 7. Fisher D, Hiller N. Case report: giant tuberculous cystic lymphangioma of posterior mediastinum, retroperitanea and groin [J]. Clini Radiol, 1994; 49(3): 215-216.
  8. 8. Dubois I, Gare L, Abela A, et al. Lymphanginomas in childrea: percutaneous sclerotherapy with an alcoholic solution of zein [J]. Radiology, 1997; 204(3): 651-654..
  9. 9. Wadsworth DT, Nenman B, Abramson SJ, et al. Splenic lymphangiomatosis in children [J]. Radiology, 1997; 202(1): 173-176.
  10. 10. Salimi Z, Fishbein M, Wolverson MK, et al. Pancreatic lymphanginoma: CT, MRI and angiographic features [J]. Gastrointest Radiol, 1991; 16(3): 248-250.
  11. 11. 俞同福, 王德杭, 虞梅玲, 等. 囊性淋巴管瘤的CT診斷 [J]. 實(shí)用放射學(xué)雜志, 2004; 20(4): 361-363.
  12. 12. de Perrot M, Rostan O, Morel P, et al. Abdominal lymphangioma in adults and children [J]. Br J Surg, 1998; 85(3): 395-397.
  13. 13. Rothenberg SS, Pokorny WJ. Use of argon beam ablation and sclerotherapy in the treatment of a case of life-threatening total abdominal lymphangiomatosis [J]. J Pediatr Surg, 1994; 29(2): 322-323.
  14. 14. Shahriari A, Odell JA. Cervical and thoracic components of multiorgan lymphangiomatosis managed surgically [J]. Ann Thorac Surg, 2001; 71(2): 694-696.
  15. 15. Aneeshkumar MK, Kale S, Kabbani M, et al. Cystic lymphangioma in adults: can trauma be the trigger? [J]. Eur Arch Otorhinolaryngol, 2005; 262(4): 335-337.
  16. 16. 王海濤, 董雋, 宋勇, 等. 腹膜后囊性淋巴管瘤的診斷與治療 [J]. 中華泌尿外科雜志, 2005; 26(6): 419-421.