阑尾黏液囊肿50例诊治分析  

Appendiceal mucoceles： a report of 50 cases

作　　者：王心[1] 崔云峰[1] 崔乃强[1] 

机构地区：[1]天津南开医院第二外科,300100

出　　处：《中华普通外科杂志》2009年第4期292-294,共3页Chinese Journal of General Surgery

摘　　要：目的探讨阑尾黏液囊肿的诊断及外科治疗的方法。方法回顾性分析2004-2008年阑尾黏液囊肿50例的诊治情况。结果术前正确诊断率为8％，8例患者合并腹膜假黏液瘤，恶变率为4％；50例患者全部采用手术治疗，全部治愈出院，无明显手术并发症，恶性肿瘤患者术后经随访及复查未见肿瘤复发及转移。结论阑尾黏液囊肿术前诊断困难，B超检查右下腹囊实性肿物应高度怀疑阑尾黏液囊肿的可能，结合腹部CT及必要的消化道造影检查可提高术前确诊率。阑尾黏液囊肿可并发腹膜假黏液瘤，且易恶变；手术切除是有效的治疗方法。Objective To evaluate the diagnosis and surgical management of appendiceal mucoceles. Method The clinical data of 50 patients with appendiceal mucoceles surgically treated from January 2004 to January 2008 were reviewed retrospectively. Result The correct preoperative diagnosis rate was 8%. Eight patients were complicated with pseudomyxoma peritonei. The canceration rate was 4%. All the 50 patients recovered uneventfully after the surgery. There was no complications, no recurrence during the follow-up period, including the 2 patients with canceration. Conclusion It was difficult to make correct diagnosis of appendiceal mucoceles preoperatively. The diagnosis should always be in mind if the B-type ultrasonography indicated a cystoadenoma. Abdominal CT coupled with necessary digestive image examinations may improve the correct diagnosis rate. Some patients may be complicated with pseudomyxoma peritonei. Occasionally this abdominal mass was also associated with malignancy. Surgery is the management of choice, and the proznosis is good.

关 键 词：阑尾 黏液囊肿 诊断 外科手术 

分 类 号：R686[医药卫生—骨科学]