新生兒腸內囊腫怎么引起的
新生(sheng)兒(er)腸(chang)系膜(mo)囊(nang)腫(zhong)(zhong)(zhong)和腸(chang)內(nei)囊(nang)腫(zhong)(zhong)(zhong)在臨床上(shang)并(bing)不多見(jian)。囊(nang)腫(zhong)(zhong)(zhong)可屬于(yu)先天性(xing)發育異常,如腸(chang)源囊(nang)腫(zhong)(zhong)(zhong)、結腸(chang)系膜(mo)漿液性(xing)囊(nang)腫(zhong)(zhong)(zhong)、皮樣囊(nang)腫(zhong)(zhong)(zhong)等。另外(wai)尚有(you)寄(ji)生(sheng)蟲性(xing)囊(nang)腫(zhong)(zhong)(zhong)、外(wai)傷性(xing)(出血(xue)性(xing)囊(nang)腫(zhong)(zhong)(zhong)、炎性(xing)囊(nang)腫(zhong)(zhong)(zhong))等。腫(zhong)(zhong)(zhong)瘤大(da)多為實質性(xing)腫(zhong)(zhong)(zhong)物(wu),可以(yi)為良性(xing)或惡性(xing),惡性(xing)腫(zhong)(zhong)(zhong)瘤約(yue)占(zhan)實質性(xing)腫(zhong)(zhong)(zhong)物(wu)的(de)60%。
新生兒腸內囊腫的癥狀
新生兒腸(chang)內囊腫(zhong)(zhong)(zhong)的(de)腫(zhong)(zhong)(zhong)塊(kuai)無疼痛及壓痛。當囊腫(zhong)(zhong)(zhong)并發出血(xue)或感染時,腫(zhong)(zhong)(zhong)物(wu)可有壓痛。邊(bian)界(jie)清楚或不清,依病因而異,但無清楚的(de)腫(zhong)(zhong)(zhong)塊(kuai)邊(bian)界(jie)。有囊性感或呈橡皮樣,若(ruo)腫(zhong)(zhong)(zhong)物(wu)過大,則腹部有振(zhen)水(shui)感。活(huo)動度通(tong)常較(jiao)大,而且具有規律性:由于(yu)(yu)固(gu)定于(yu)(yu)后腹壁的(de)腸(chang)系膜根部是從左上(shang)走(zou)向右(you)下、縱向固(gu)定的(de),故腸(chang)系膜根部囊腫(zhong)(zhong)(zhong)的(de)活(huo)動度以橫向為大,沿右(you)上(shang)至左下軸(zhou)心(xin)活(huo)動,而上(shang)下活(huo)動受限;若(ruo)囊腫(zhong)(zhong)(zhong)位于(yu)(yu)腸(chang)系膜周圍者,上(shang)下及左右(you)活(huo)動范(fan)圍均大。
新生兒腸內囊腫(zhong)(zhong)較(jiao)大(da)者(zhe)可(ke)引起(qi)腹(fu)(fu)脹(zhang),患者(zhe)腹(fu)(fu)圍逐漸增大(da),巨(ju)大(da)囊腫(zhong)(zhong)可(ke)誤(wu)診為(wei)腹(fu)(fu)水,小囊腫(zhong)(zhong)可(ke)表(biao)現(xian)為(wei)偏向一側的(de)腹(fu)(fu)脹(zhang),巨(ju)大(da)囊腫(zhong)(zhong)引起(qi)腸梗阻者(zhe)也(ye)有(you)腹(fu)(fu)脹(zhang)。
新生兒腸囊腫怎么治
手術治療是腸囊腫唯一(yi)有效的(de)治療(liao)方法(fa),腸(chang)囊(nang)(nang)腫(zhong)(zhong)確診(zhen)之后,如果需要采取手術治療(liao),應該及時的(de)采取手術,現在(zai)的(de)腸(chang)囊(nang)(nang)腫(zhong)(zhong)手術是(shi)(shi)顯微外科(ke)手術,手術的(de)創傷一(yi)般(ban)來說是(shi)(shi)比較小的(de),外科(ke)顯微手術需要認真(zhen)的(de)剝離腸(chang)囊(nang)(nang)腫(zhong)(zhong),新生兒腸(chang)囊(nang)(nang)腫(zhong)(zhong)手術是(shi)(shi)比較安(an)全(quan)的(de),能夠將腸(chang)囊(nang)(nang)腫(zhong)(zhong)徹(che)底的(de)摘(zhai)除,而不會(hui)復發,絕大多數都能夠徹(che)底治愈,術后的(de)效果比較好。