恶性腹膜间皮瘤的腹腔镜表现  

Laparoscopic Detection of Malignant Peritoneal Mesothelioma

作　　者：张树荣[1] 罗海书[1] 陈永富[1] 刘苗[1] 魏立兵[1] 刘建昆[1] 

机构地区：[1]成都军区昆明总医院消化内科,云南昆明650032

出　　处：《中国医师杂志》2004年第10期1305-1306,共2页Journal of Chinese Physician

摘　　要：目的　提高腹腔镜检查对恶性腹膜间皮瘤 (MPM)的诊断率 ,加强对MPM的认识。方法　回顾分析 2 5例经病理证实的MPM患者的腹腔镜表现。结果　 2 5例 ( 10 0 % )患者均有腹膜壁层不同程度充血、水肿、血管网模糊、并可见厚薄不均的胼胝样增厚。壁、脏层腹膜均可见分布不均、大小不等、数量不一的灰白色结节。 2 1例 ( 84% )患者腹腔内见大小不等的包块 ,包块充血、水肿明显 ,颜色较深 ,质脆 ,数量多少不一 ,可为一个或数个 ,或数个小包块连结成一个大包块。 2 5例均可见黄色浑浊或血性腹水。结论　MPM在腹腔镜下有其特点 ,腹腔镜检查具有安全、微创、痛苦小、确诊率高等优点 ,腹腔镜检查加活检是诊断MPM的最好方法。Objective To improve the diagnostic rate of laparoscopy for malignant peritoneal mesothelioma (MPM) and enhance acquaintance with this disease. Methods The appearance of laparoscopic detection was retrospectively analysed in 25 patients with pathologically proved MPM. Results Hyperemia, edema and faint vascular net in parietal peritoneum were seen in all patients, and the thick or thin callus-like thickened parietal peritoneum was also observed. There were some grey nodes of various size, distribution and number in parietal and visceral peritoneum in all patients. The purplish red masses with hyperemia and edema were seen in abdominal cavity in 21 patients (21/25,84%). Several small masses cold be connected each other to become one big mass. All patients had yellow turbid or bloody ascites. Conclusion MPM had special characteristics under laparoscopy. Laparoscopic detection possesses the advantages of safety, little trauma, less hurt and high diagnostic rate. Laparoscopic detection and biopsy may be the best method for diagnosis of MPM.

关 键 词：腹腔镜检查 包块 恶性腹膜间皮瘤 患者 水肿 诊断率 确诊率 大小 结论 连结 

分 类 号：R735.5[医药卫生—肿瘤]