摘要
为了探讨恶性腹膜间皮细胞瘤患者的临床特点、诊治方法以及预后,回顾性分析我院诊治的恶性腹膜间皮瘤患者15例的人口学资料、临床表现、影像学特点、腹腔镜下表现以及治疗后转归。患者主要临床表现为乏力13例(86.7%),腹胀12例(80.0%),腹痛11例(73.3%),腹部不适10例(66.7%),消瘦、贫血6例(40%),腹水13例(86.7%),腹部膨隆13例(86.7%),腹部包块6例(40.0%)。腹部超声和CT检查对该病的诊断没有特异性。腹腔镜下表现为粉红色结节、腹膜广泛或局部胼胝样增厚或局部包块。腹膜表面尚存在不同程度充血、水肿及血管扩张。生存期3～18个月,平均9个月。初步研究结果提示,恶性腹膜间皮瘤临床特征性少,恶性程度大,常规检查难以确诊,腹腔镜在诊断方面具有优势,而且安全可行。
The objective of this study was to investigate the clinical characteristics,prognosis and diagnostic methods of malignant peritoneum mesothelioma. The demographic data,clinic features,imaging features,manifestations with laparoscope,and prognosis of 15 cases of pathologically proved malignant peritoneum mesothelioma were analyzed. The common clinical manefestations were hypodynamia （86.7%,13 cases） ventral bloating（80.0%,12 cases）,abdominal pain with emaciation （73.3%,11 cases）,abdominal discomfort （66.7%,10 cases） peritoneal fluid （86.7%,13 cases）,abdominal distention （86.7%,13 cases）,abdominal mass（40.0%,6 cases）,and anemia（40%,6 cases）,etc. There was no specificity in diagnosing with abdominal ultrasoud. Under laparoscopy,pink nodules,diffusing or local peritoneal thickening of callus-like,or local mass were found on the peritoneum. Hyperemia,edema and vasodilatation could be seen on peritoneal surface. The survival time in this group averaged 9 months （3-18 months）. Malignant peritoneal mesothelioma is highly malignant disease without distinct clinical features. It is difficult to diagnose this disease at present under routine clinical situation. Laparoscopy has an advantage in the diagnosis with securrty.
出处
《中华肿瘤防治杂志》
CAS
2010年第17期1381-1382,共2页
Chinese Journal of Cancer Prevention and Treatment
关键词
间皮瘤
腹膜
腹腔镜
诊断
治疗
mesothelioma
peritoneum
laparoscopes
diagnosis
therapy
