腹茧症行急症剖宫产1例并文献复习

One Case of Acute Cesarean Section for Abdominal Cocoon and Review of Literature

摘要: 腹茧症是一种罕见的腹部疾病，病因尚未明确，主要表现为腹腔部分或全部脏器被一层纤维膜包裹，行似蚕茧。本病诊断较为困难，多数为术中发现，CT对诊断有帮助。手术是确诊及有效治疗主要手段。腹茧症会导致生育期女性不孕症，可行IVF-ET助孕。对于合并腹茧症患者的分娩方式建议阴道分娩，如有指证也可行剖宫产，注意术前评估手术难度，做好术中术后抢救工作。

Abstract: Abdominal cocoon is a rare abdominal disease, the etiology is not clear, mainly manifested as part or all of the abdominal organs are wrapped by a layer of fibrous membrane, like cocoon. This dis-ease is difficult to diagnose, mostly found during surgery, CT is helpful for diagnosis. Operation is the main means of diagnosis and effective treatment. Abdominal cocoon can lead to infertility in women in reproductive period, and IVF-ET is feasible to assist pregnancy. For patients with ab-dominal cocoon, vaginal delivery is recommended, if there is evidence, cesarean section is also fea-sible, pay attention to preoperative evaluation of surgical difficulty, and do a good job of intraopera-tive and postoperative rescue work.