• 武漢大學(xué)人民醫(yī)院普外科（武漢430060）;

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(jìn)行回顧性分析，并結(jié)合文獻(xiàn)加以討論。結(jié)果該5例患者的主要臨床表現(xiàn)為腹脹、腹痛、腹部包塊，其中4例行減瘤手術(shù)治療，并在術(shù)后輔以腹腔內(nèi)化療。術(shù)后隨訪，1例3年內(nèi)死亡，1例7年內(nèi)死亡，另2例現(xiàn)已分別存活9年零5個月和3個月。結(jié)論腹膜假性粘液瘤是一種少見疾病，其來源多見于闌尾，術(shù)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(shù)患者術(shù)中探查可見腹腔內(nèi)廣泛病變，一次清除很困難，往往需采取多次減瘤術(shù)。外科手術(shù)治療仍是目前有效的治療手段。

引用本文： 向進(jìn)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(chǔ)與臨床雜志, 2003, 10(1): 53-54. doi: 復(fù)制

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  2. 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.
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