新生兒腸內囊腫怎么引起的
新生(sheng)兒腸(chang)(chang)系膜囊(nang)腫和腸(chang)(chang)內囊(nang)腫在臨床上并(bing)不多(duo)見。囊(nang)腫可屬于(yu)先(xian)天性(xing)(xing)發育異常,如腸(chang)(chang)源囊(nang)腫、結腸(chang)(chang)系膜漿液性(xing)(xing)囊(nang)腫、皮樣囊(nang)腫等。另(ling)外(wai)尚有寄生(sheng)蟲(chong)性(xing)(xing)囊(nang)腫、外(wai)傷(shang)性(xing)(xing)(出血性(xing)(xing)囊(nang)腫、炎性(xing)(xing)囊(nang)腫)等。腫瘤大多(duo)為實(shi)質(zhi)性(xing)(xing)腫物,可以為良性(xing)(xing)或惡性(xing)(xing),惡性(xing)(xing)腫瘤約占實(shi)質(zhi)性(xing)(xing)腫物的(de)60%。
新生兒腸內囊腫的癥狀
新生兒腸(chang)內囊(nang)(nang)腫(zhong)(zhong)的(de)(de)腫(zhong)(zhong)塊無疼(teng)痛及壓(ya)痛。當囊(nang)(nang)腫(zhong)(zhong)并發出血或(huo)感(gan)染時,腫(zhong)(zhong)物可有(you)壓(ya)痛。邊(bian)界(jie)清(qing)楚(chu)或(huo)不清(qing),依病因而異,但無清(qing)楚(chu)的(de)(de)腫(zhong)(zhong)塊邊(bian)界(jie)。有(you)囊(nang)(nang)性(xing)感(gan)或(huo)呈橡皮樣,若腫(zhong)(zhong)物過大(da),則(ze)腹(fu)部(bu)(bu)有(you)振水感(gan)。活(huo)動度通常較大(da),而且(qie)具有(you)規律性(xing):由(you)于固(gu)定于后腹(fu)壁的(de)(de)腸(chang)系(xi)膜(mo)根部(bu)(bu)是(shi)從左上(shang)走向右下(xia)、縱向固(gu)定的(de)(de),故腸(chang)系(xi)膜(mo)根部(bu)(bu)囊(nang)(nang)腫(zhong)(zhong)的(de)(de)活(huo)動度以橫向為大(da),沿(yan)右上(shang)至左下(xia)軸(zhou)心活(huo)動,而上(shang)下(xia)活(huo)動受限;若囊(nang)(nang)腫(zhong)(zhong)位于腸(chang)系(xi)膜(mo)周圍者,上(shang)下(xia)及左右活(huo)動范圍均大(da)。
新生兒腸內囊(nang)腫較大(da)者可(ke)引起(qi)腹脹,患者腹圍(wei)逐漸增大(da),巨(ju)大(da)囊(nang)腫可(ke)誤(wu)診為腹水(shui),小囊(nang)腫可(ke)表現(xian)為偏向一側的腹脹,巨(ju)大(da)囊(nang)腫引起(qi)腸梗阻者也(ye)有腹脹。
新生兒腸囊腫怎么治
手術治療是腸囊腫唯一有效的(de)(de)治(zhi)療方法,腸囊(nang)腫(zhong)(zhong)確診之(zhi)后(hou),如果需要采(cai)取手(shou)術(shu)治(zhi)療,應該(gai)及時(shi)的(de)(de)采(cai)取手(shou)術(shu),現在的(de)(de)腸囊(nang)腫(zhong)(zhong)手(shou)術(shu)是(shi)顯(xian)微(wei)外科手(shou)術(shu),手(shou)術(shu)的(de)(de)創傷一般來說是(shi)比(bi)較小的(de)(de),外科顯(xian)微(wei)手(shou)術(shu)需要認真的(de)(de)剝離腸囊(nang)腫(zhong)(zhong),新(xin)生兒腸囊(nang)腫(zhong)(zhong)手(shou)術(shu)是(shi)比(bi)較安全(quan)的(de)(de),能(neng)夠(gou)(gou)將腸囊(nang)腫(zhong)(zhong)徹(che)底(di)的(de)(de)摘除,而(er)不會復發(fa),絕大多數都能(neng)夠(gou)(gou)徹(che)底(di)治(zhi)愈,術(shu)后(hou)的(de)(de)效果比(bi)較好。