腹膜假性黏液瘤52例临床诊疗分析

Clinical diagnosis and treatment of pseudomyxoma peritonei: Analysis of 52 cases

  • 摘要: 目的 探讨腹膜假性黏液瘤(pseudomyxoma peritonei,PMP)的临床诊疗特点。 方法 回顾性分析2001年5月-2011年10月本院收治的52例腹膜假性黏液瘤诊疗及随访情况。 结果 52例均有不同程度的腹部膨隆、腹胀及腹痛,经超声、CT、腹腔穿刺活检证实43例,所有患者均经手术治疗,2例术后死亡,余恢复良好;45例随访2月-11年,7例死亡。 结论 腹膜假性黏液瘤虽属低度恶性,但病死率高,超声、CT、腹腔穿刺活检联合检查有助于明确术前诊断,减瘤术为本病主要治疗手段,改进切除范围可降低术后并发症发生率,对提高生存率亦有显著意义。

     

    Abstract: Objective To analyze the clinical diagnosis and treatment of pseudomyxoma peritonei(PMP). Methods Clinical diagnosis and treatment of 52 PMP patients admitted to our hospital from 2001 to 2011 and their follow-up data were retrospectively analyzed. Results The 52 PMP patients were found to have abdominal bulge,distension and pain,which were confirmed in 43 by ultrasound,CT and abdominal paracentesis biopsy.The patients recovered quite well except 2 who died after operation.Forty-five patients were followed up for 2 months-11 years,during which 7 died. Conclusion Although PMP is a low malignant tumor,its mortality is high.Combined ultrasound,CT and abdominal paracentesis biopsy contributes to its definite diagnosis before operation.Cytoreduction is the first choice of treatment for it.Modification of its resection range can reduce the incidence of complications and improve the survival rate of PMP patients.

     

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