新生兒腸內囊腫怎么引起的
新生兒(er)腸系(xi)膜(mo)囊(nang)(nang)腫(zhong)(zhong)和(he)腸內囊(nang)(nang)腫(zhong)(zhong)在臨床上并不多(duo)見。囊(nang)(nang)腫(zhong)(zhong)可(ke)(ke)屬(shu)于先天性(xing)(xing)(xing)(xing)發育異(yi)常(chang),如(ru)腸源(yuan)囊(nang)(nang)腫(zhong)(zhong)、結腸系(xi)膜(mo)漿液性(xing)(xing)(xing)(xing)囊(nang)(nang)腫(zhong)(zhong)、皮樣囊(nang)(nang)腫(zhong)(zhong)等(deng)。另外尚有寄(ji)生蟲性(xing)(xing)(xing)(xing)囊(nang)(nang)腫(zhong)(zhong)、外傷性(xing)(xing)(xing)(xing)(出血性(xing)(xing)(xing)(xing)囊(nang)(nang)腫(zhong)(zhong)、炎性(xing)(xing)(xing)(xing)囊(nang)(nang)腫(zhong)(zhong))等(deng)。腫(zhong)(zhong)瘤(liu)大多(duo)為實質性(xing)(xing)(xing)(xing)腫(zhong)(zhong)物(wu),可(ke)(ke)以為良性(xing)(xing)(xing)(xing)或(huo)惡性(xing)(xing)(xing)(xing),惡性(xing)(xing)(xing)(xing)腫(zhong)(zhong)瘤(liu)約(yue)占實質性(xing)(xing)(xing)(xing)腫(zhong)(zhong)物(wu)的60%。
新生兒腸內囊腫的癥狀
新生兒腸(chang)內囊腫(zhong)(zhong)的(de)腫(zhong)(zhong)塊無疼(teng)痛及(ji)壓痛。當囊腫(zhong)(zhong)并發出血或感染時,腫(zhong)(zhong)物(wu)(wu)可(ke)有(you)壓痛。邊界(jie)清楚或不清,依病因而異,但無清楚的(de)腫(zhong)(zhong)塊邊界(jie)。有(you)囊性感或呈橡皮樣,若(ruo)腫(zhong)(zhong)物(wu)(wu)過大(da)(da),則腹部(bu)有(you)振水感。活(huo)(huo)動(dong)(dong)(dong)度通常(chang)較大(da)(da),而且具有(you)規律性:由(you)于(yu)固定于(yu)后腹壁(bi)的(de)腸(chang)系膜(mo)根(gen)部(bu)是從左上走向(xiang)右(you)(you)下、縱(zong)向(xiang)固定的(de),故腸(chang)系膜(mo)根(gen)部(bu)囊腫(zhong)(zhong)的(de)活(huo)(huo)動(dong)(dong)(dong)度以橫向(xiang)為大(da)(da),沿右(you)(you)上至左下軸心(xin)活(huo)(huo)動(dong)(dong)(dong),而上下活(huo)(huo)動(dong)(dong)(dong)受限(xian);若(ruo)囊腫(zhong)(zhong)位于(yu)腸(chang)系膜(mo)周圍者,上下及(ji)左右(you)(you)活(huo)(huo)動(dong)(dong)(dong)范圍均大(da)(da)。
新生兒腸內囊(nang)腫(zhong)(zhong)較大(da)者可(ke)引起(qi)腹(fu)脹(zhang),患(huan)者腹(fu)圍(wei)逐漸(jian)增大(da),巨(ju)大(da)囊(nang)腫(zhong)(zhong)可(ke)誤(wu)診(zhen)為(wei)腹(fu)水,小囊(nang)腫(zhong)(zhong)可(ke)表現為(wei)偏(pian)向一側的腹(fu)脹(zhang),巨(ju)大(da)囊(nang)腫(zhong)(zhong)引起(qi)腸梗阻(zu)者也(ye)有腹(fu)脹(zhang)。
新生兒腸囊腫怎么治
手術治療是腸囊腫唯(wei)一有效的(de)(de)治療方法(fa),腸囊(nang)(nang)腫(zhong)(zhong)確診之(zhi)后,如果需(xu)要采(cai)(cai)取手(shou)(shou)術(shu)治療,應(ying)該及時的(de)(de)采(cai)(cai)取手(shou)(shou)術(shu),現(xian)在的(de)(de)腸囊(nang)(nang)腫(zhong)(zhong)手(shou)(shou)術(shu)是(shi)顯微(wei)外科(ke)手(shou)(shou)術(shu),手(shou)(shou)術(shu)的(de)(de)創傷(shang)一般來(lai)說(shuo)是(shi)比較(jiao)(jiao)小的(de)(de),外科(ke)顯微(wei)手(shou)(shou)術(shu)需(xu)要認真的(de)(de)剝離(li)腸囊(nang)(nang)腫(zhong)(zhong),新(xin)生兒腸囊(nang)(nang)腫(zhong)(zhong)手(shou)(shou)術(shu)是(shi)比較(jiao)(jiao)安全的(de)(de),能夠將腸囊(nang)(nang)腫(zhong)(zhong)徹底(di)的(de)(de)摘(zhai)除,而(er)不(bu)會復發,絕大多(duo)數都能夠徹底(di)治愈,術(shu)后的(de)(de)效果比較(jiao)(jiao)好(hao)。