新生兒腸內囊腫怎么引起的
新生兒腸(chang)系(xi)膜(mo)囊(nang)(nang)腫(zhong)(zhong)(zhong)(zhong)(zhong)和腸(chang)內囊(nang)(nang)腫(zhong)(zhong)(zhong)(zhong)(zhong)在臨床(chuang)上并不多見。囊(nang)(nang)腫(zhong)(zhong)(zhong)(zhong)(zhong)可屬于(yu)先天(tian)性(xing)(xing)(xing)(xing)(xing)發育(yu)異常,如腸(chang)源囊(nang)(nang)腫(zhong)(zhong)(zhong)(zhong)(zhong)、結腸(chang)系(xi)膜(mo)漿液性(xing)(xing)(xing)(xing)(xing)囊(nang)(nang)腫(zhong)(zhong)(zhong)(zhong)(zhong)、皮樣(yang)囊(nang)(nang)腫(zhong)(zhong)(zhong)(zhong)(zhong)等。另(ling)外(wai)尚有寄生蟲(chong)性(xing)(xing)(xing)(xing)(xing)囊(nang)(nang)腫(zhong)(zhong)(zhong)(zhong)(zhong)、外(wai)傷性(xing)(xing)(xing)(xing)(xing)(出(chu)血性(xing)(xing)(xing)(xing)(xing)囊(nang)(nang)腫(zhong)(zhong)(zhong)(zhong)(zhong)、炎性(xing)(xing)(xing)(xing)(xing)囊(nang)(nang)腫(zhong)(zhong)(zhong)(zhong)(zhong))等。腫(zhong)(zhong)(zhong)(zhong)(zhong)瘤大多為(wei)實(shi)(shi)質性(xing)(xing)(xing)(xing)(xing)腫(zhong)(zhong)(zhong)(zhong)(zhong)物,可以為(wei)良性(xing)(xing)(xing)(xing)(xing)或(huo)惡性(xing)(xing)(xing)(xing)(xing),惡性(xing)(xing)(xing)(xing)(xing)腫(zhong)(zhong)(zhong)(zhong)(zhong)瘤約占實(shi)(shi)質性(xing)(xing)(xing)(xing)(xing)腫(zhong)(zhong)(zhong)(zhong)(zhong)物的60%。
新生兒腸內囊腫的癥狀
新生兒腸(chang)內(nei)囊腫的(de)腫塊(kuai)無(wu)疼(teng)痛(tong)(tong)及(ji)壓痛(tong)(tong)。當(dang)囊腫并發(fa)出(chu)血或感(gan)(gan)染(ran)時,腫物可(ke)有壓痛(tong)(tong)。邊界(jie)(jie)清楚(chu)或不清,依病(bing)因(yin)而異,但無(wu)清楚(chu)的(de)腫塊(kuai)邊界(jie)(jie)。有囊性(xing)感(gan)(gan)或呈(cheng)橡皮樣,若腫物過大,則腹(fu)部(bu)(bu)有振水(shui)感(gan)(gan)。活動(dong)度通常較大,而且具有規律性(xing):由于固定于后腹(fu)壁的(de)腸(chang)系(xi)膜根部(bu)(bu)是從左(zuo)上走向(xiang)右下(xia)、縱向(xiang)固定的(de),故腸(chang)系(xi)膜根部(bu)(bu)囊腫的(de)活動(dong)度以橫向(xiang)為大,沿右上至左(zuo)下(xia)軸心(xin)活動(dong),而上下(xia)活動(dong)受限;若囊腫位于腸(chang)系(xi)膜周圍(wei)者(zhe),上下(xia)及(ji)左(zuo)右活動(dong)范圍(wei)均大。
新生兒腸內囊腫(zhong)較大者可引起腹脹,患者腹圍逐漸增大,巨大囊腫(zhong)可誤診(zhen)為(wei)腹水,小(xiao)囊腫(zhong)可表現為(wei)偏向一側的(de)腹脹,巨大囊腫(zhong)引起腸梗阻者也有腹脹。
新生兒腸囊腫怎么治
手術治療是腸囊腫唯一有(you)效(xiao)的(de)治療方法,腸(chang)囊腫(zhong)(zhong)(zhong)確診之后(hou),如(ru)果需要采取手術(shu)治療,應該及時的(de)采取手術(shu),現在的(de)腸(chang)囊腫(zhong)(zhong)(zhong)手術(shu)是(shi)顯微(wei)外科手術(shu),手術(shu)的(de)創(chuang)傷一般來說是(shi)比較(jiao)(jiao)小的(de),外科顯微(wei)手術(shu)需要認真(zhen)的(de)剝離腸(chang)囊腫(zhong)(zhong)(zhong),新生兒腸(chang)囊腫(zhong)(zhong)(zhong)手術(shu)是(shi)比較(jiao)(jiao)安全的(de),能(neng)夠(gou)將腸(chang)囊腫(zhong)(zhong)(zhong)徹底的(de)摘除,而不會復發(fa),絕大多數都能(neng)夠(gou)徹底治愈,術(shu)后(hou)的(de)效(xiao)果比較(jiao)(jiao)好。