腹膜间皮瘤的超声诊断  

Ultrasonographic Diagnosis of Peritoneal Mesothelioma

作　　者：徐光[1] 姜玉新[2] 戴晴[2] 李敬府[2] 傅先水[1] 彭禹[1] 

机构地区：[1]北京医院北京医科大学第五临床医院,北京100730 [2]中国医学科学院中国协和医科大学协和医院,北京100730

出　　处：《中国医学科学院学报》1998年第6期445-448,共4页Acta Academiae Medicinae Sinicae

摘　　要：目的　 探讨腹膜间皮瘤的超声声像图特征及其声像图表现与大体病理改变的关系。方法　 总结 1 4例腹膜间皮瘤的超声检查结果 ,并将其声像图表现与大体病理改变相对照。结果　 腹膜间皮瘤的超声声像图表现为腹膜呈片状增厚 2例 ,腹膜不规则结节样肿块 1例 ,网膜呈“饼样”增厚 5例 ,盆腔肿块 8例 (其中 2例合并有腹部肿块 ) ,下腹部肿块 1例 ,肠管粘连 1例 ,腹水 1 3例。结论　 当超声检查发现腹膜呈片状增厚或不规则结节样肿块时 ,应考虑该病的可能性。此外 。Objective To investigate the sonographic features of peritoneal mesothelioma and its relationship with the gross pathology.Methods The ultrasonographic results of1 4cases with peritoneal mesothelioma were summarized,the sonographic featuers were compared with the gross pathology.Results With ultrasound examination a sheetlike mass was seen in two patients and a localized irregular mass was seen in one.Involvement of“cakelike o- mentum” was present in five.Pelvic mass was seen in eight and two were also with abdomi- nal mass;one presented abdominal mass only.Bowel adhesion was found in one.Ascites was presented in all patients except one.Conclusions It is possible for ultrasonography to suggest the diagnosis of peritoneal mesothelioma,when the sheetlike or irregular mass of peritoneum was founded.Ultrasound guided biopsy was helpful in diagnosis of peritoneal mesothelioma before operation.

关 键 词：腹膜间皮瘤 超声波诊断 腹膜肿瘤 

分 类 号：R735.504[医药卫生—肿瘤]