中国腹茧症15年流行病学特征

目的:探讨中国近15年腹茧症的流行病学特征和诊疗经验.方法:总结中国1994年1月-2009年1月问的腹茧症文献资料.结果:中国近15年共报道903例腹茧症,男女比例为1:1.35,平均年龄33.14岁,51.7%分布在华东地区,90.5%以不同表现形式的肠梗阻为主要表现,70.5%属于弥漫型腹茧症,40.2%患者无大网膜,手术以包膜切除为主.结论:腹茧症主要分布在华东地区,术前诊断困难,切除包膜和松解粘连是治疗本病的有效方法.

The Epidemiological Study on Abdominal Cocoon in last 15 years in China

Objective:To study the epidemiological feature and the diagnosis and treatment on abdominal cocoon in last 15 years in China.Methods:Reviewed the abdominal cocoon document from Jan.1994 to Jan.2009.Results:903 patients were reported.The male to female ratio was approximately 1:1.35.The mean age in diagnosis was 33.14 years.51.7%of them were in East Part of China,intestinal obstruction of different types was the main clinical manifestation in 90.5%patients,70.5%was diffuse abdominal cocoon,40.2% absent of greater omentum,capsule resection was the main therapeutic method.Conclusion:Abdominal cocoon was more common in East Part of China.Preoperative diagnosis Was difficult.Capsule removal and adhesions release were the effective methods in treating the disease.