原发性大网膜扭转诊断及治疗临床分析

摘要

Objective To summarize the application of laparoscopic diagnosis and treatment of primary torsion of omentum. Methods The laparoscopic diagnosis and treatment of 10 cases of primary torsion of omentum were analyzed retrospectively from June 2010 to October 2016,its clinical features,diagnosis,treatment and prognosis were comprehensive analyzed. Result 10 cases confirmed by laparoscopy with primary torsion of omentum and removal of necrotic omentum,they all cured 4 days after surgery and postoperative follow-up of 6 months without discomfort. Conclusion The clinical manifestations of primary torsion of omentum are not specific. It is easy to misdiagnose before operation. Laparoscopy can reduce blind exploration and diagnose clearly, and complete the corresponding treatment at the same time. It is an ideal choice for the diagnosis and treatment of primary torsion of omentum.%目的 分析原发性大网膜扭转诊断及治疗.方法 回顾性分析2010年6月至2016年10月10例原发性大网膜扭转患者,综合分析其临床表现、诊断、治疗及预后.结果 10例经腹腔镜探查证实为原发性大网膜扭转,切除坏死大网膜,术后4d治愈出院,术后随访6个月无不适.结论 原发性大网膜扭转临床表现无特异性,术前易误诊,腹腔镜可以减少盲目探查和明确诊断,同时可以完成相应治疗,是原发性大网膜扭转患者诊治的理想选择.