南方医科大学学报

南方医科大学学报 ›› 2004, Vol. 24 ›› Issue (08): 965-966.

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恶性腹膜间皮瘤的诊治体会

王浩1, 厉周2, 黄宗海2   

  1. 1. 海军413医院普外科, 浙江, 舟山, 316000;
    2. 第一军医大学珠江医院普通科, 广东, 广州, 510280
  • 出版日期:2004-08-20 发布日期:2004-08-20
  • 基金资助:
    收稿日期:2003-9-19。
    作者简介:王浩(1974-),男,1997年毕业于第二军医大学,主治医师,E-mail:wrw168@yahoo.com.cn

Experience with diagnosis and treatment of malignant peritoneal mesothelioma

WANG Hao1, LI Zhou2, HUANG Zong-hai2   

  1. 1. 海军413医院普外科, 浙江, 舟山, 316000;
    2. 第一军医大学珠江医院普通科, 广东, 广州, 510280
  • Online:2004-08-20 Published:2004-08-20

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摘要： 目的 探讨恶性腹膜间皮瘤的诊治方法。方法 回顾分析16例恶性腹膜间皮瘤临床表现、实验检查及治疗方法。结果 16例中术前确诊3例,剖腹探查10例,急诊手术1例,腹腔镜探查2例。随访12例,半年内死亡2例,2年内死亡7例,1例生存超过2年。另2例为近1年内患者,继续治疗中。结论 恶性腹膜间皮瘤无特异性症状,诊断困难,误诊率高。诊断主要依据脱落细胞检查、腹腔穿刺活检、腹腔镜及剖腹探查。预后差,综合治疗有望延长患者生存期。

Abstract: Objective To explore the methods for diagnosis and treatment of malignant peritoneal mesothelioma. Methods The clinical features, results of laboratory tests and treatment of 16 cases were studied retrospectively. Results Three cases were diagnosed before operation, 10 underwent laporatomy, 1 emergency operation and 2 received laparoscopic operation. In the 12 patients who were followed up, 1 survived for more than 2 years, and 2 patients still receiving treatment had survived for more than 1 year after operation. Conclusions Malignant peritoneal mesothelioma does not present typical symptoms and the diagnosis is usually difficult, which depends on examinations of the exfoliative cell, abdominal paracentesis, laparoscopic probing and laporatomy. The prognosis is often unfavorable. Comprehensive therapies might prolong the survival of the patients.

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