腹膜假性粘液瘤5例臨床分析_《中國普外基礎與臨床雜志》

作者：

向進見 , 沈世強 , 童仕倫 , 韓亮

武漢大學人民醫院普外科（武漢430060）;

關鍵詞：

腹膜假性粘液瘤診斷治療

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目的探討腹膜假性粘液瘤的診斷和治療。方法對本院1988~2002年收治的5例腹膜假性粘液瘤的臨床資料進行回顧性分析，并結合文獻加以討論。結果該5例患者的主要臨床表現為腹脹、腹痛、腹部包塊，其中4例行減瘤手術治療，并在術后輔以腹腔內化療。術后隨訪，1例3年內死亡，1例7年內死亡，另2例現已分別存活9年零5個月和3個月。結論腹膜假性粘液瘤是一種少見疾病，其來源多見于闌尾，術前診斷困難，多次針吸和血清癌胚抗原檢查對診斷可能有幫助。多數患者術中探查可見腹腔內廣泛病變，一次清除很困難，往往需采取多次減瘤術。外科手術治療仍是目前有效的治療手段。

引用本文： 向進見,沈世強,童仕倫,韓亮. 腹膜假性粘液瘤5例臨床分析. 中國普外基礎與臨床雜志, 2003, 10(1): 53-54. doi: 復制

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1. Shen DH, Ng Ty, Khoo US,et al. Pseudomyxoma peritoneia heterogenous disease [Ｊ]. Int J Gynaecol Obstet, 1998; 62(2)∶ 173.
2. Ronnett BM, Yan H, Kurman RJ, et al. Patients with pseudomyxoma peritonei associated with disseminated peritoneal adenomucinosis have a significantly more favorable prognosis than patients with peritoneal mucinous carcinomatosis [Ｊ]. Cancer, 2001; 92(1)∶ 85.
3. Kishimoto S, Kameyama M, Kodama K, et al. A case report of malignant pseudomyxoma peritonei treated by a new modality of intraperitoneal chemohyperthermia [Ｊ]. Gan to Kagaku Ryoho, 1993; 20(11)∶ 1703.
4. Gough DB, Donohue JH, Schutt AJ, et al. Pseudomyxoma peritonei. Longterm patient survival with an aggressive regional approach [Ｊ]. Ann Surg, 1994; 219(2)∶ 112.
5. Sugarbaker PH. Cytoreductive surgery and peri-operative intraperitoneal chemotherapy as a curative approach to pseudomyxoma peritonei syndrome [Ｊ]. Eur J Surg Oncol, 2001; 27(3)∶ 239.
6. Hinson FL, Ambrose NS. Pseudomyxoma peritonei [Ｊ]. Br J Surg, 1998; 85(10)∶ 1332.

《中國普外基礎與臨床雜志》

腹膜假性粘液瘤5例臨床分析

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《中國普外基礎與臨床雜志》

腹膜假性粘液瘤5例臨床分析

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