摘要
目的探讨腹部切口骨化的病因、临床特征、诊断、治疗与预后。方法通过对1例中年男性腹部切口骨化的报道,分析其临床资料并复习相关文献。结果患者,男,48岁,1个月前因急性重症胰腺炎行开腹清创引流术,术中取腹部正中切口,术后切口Ⅰ期愈合。患者突发腹腔出血,行急诊剖腹探查止血,术中发现上腹正中切口剑突下方处可见一条索状,坚硬骨化组织,大小约6 cm×2 cm,质硬,与周围组织黏连紧密,完整切除。结论腹部切口骨化在临床上较为少见。临床表现缺乏特异性,诊断主要依靠影像学及病理学检查,手术切除为主要治疗手段,术后有复发的可能,宜严密随访。
Objective To investigate the etiology,clinical characteristics,diagnosis,treatment and prognosis of heterotopic ossification of abdominal incision.Methods The clinical data of a middle-aged male with heterotopic ossification of abdominal incision were analyzed and the related literature was reviewed.Results The patient,male,48 years old,was diagnosed with severe acute pancreatitis patients 1 months ago,and received open drainage and debridement of abdominal midline incision,with postoperative incision healing I period.The patient had sudden abdominal hemorrhage,and emergency laparotomy was performed for hemostasis.During the operation,a cordlike hard ossified tissue was found below the xiphoid process of the median incision of the upper abdomen,about 6 cm×2 cm in size,hard,closely adhered to the surrounding tissue,and was completely removed and sent to the pathology department.Conclusion Heterotopic abdominal incision ossification is rare in clinic.The clinical manifestations are lack of specificity,and the diagnosis mainly depends on imaging and pathological examination.Surgical resection is the main treatment method.It should be closely followed up,because postoperative recurrence is possible.
作者
唐亚丽
连树林
TANG Yali;LIAN Shulin(Department of Surgery,Affiliated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China)
出处
《长春中医药大学学报》
2020年第6期1255-1257,共3页
Journal of Changchun University of Chinese Medicine
关键词
腹部切口骨化
特异性
手术
文献复习
heterotopic abdominal incision ossification
specificity
operation
literature review
