阑尾黏液性肿瘤30例诊疗分析  

Diagnosis and treatment of 30 cases with appendiceal mucinous tumors

作　　者：宣卓琦[1] 高林[1] 花晨[1] Xuan Zhuoqi;Gao Lin;Hua Chen(Jiangyin Hospital Affiliated to Southeast University Medical School,Jiangsu Wuxi 214400,China)

机构地区：[1]东南大学医学院附属江阴医院

出　　处：《腹部外科》2019年第4期284-286,294,共4页Journal of Abdominal Surgery

摘　　要：目的探讨阑尾黏液性肿瘤的临床特点及诊治原则。方法回顾性分析江阴市人民医院30例阑尾黏液性肿瘤病人的临床资料。结果30例阑尾黏液性肿瘤中9例为阑尾黏液腺瘤,1例为阑尾黏液腺癌,其余20例均为阑尾黏液囊肿,所有病人均行手术治疗;30例病人中1例因腹膜假性黏液瘤复发于术后第5年死亡,其余29例均未出现阑尾黏液性肿瘤复发及转移。结论阑尾黏液性肿瘤在临床上较为少见,缺乏特异性症状,术前诊断较困难,术中偶然发现概率高,术中无破裂一般预后较好,一旦出现肿瘤破裂术后可能出现腹膜假性黏液瘤,预后较差。Objective To investigate the clinical features, diagnosis and treatment of appendiceal mucinous tumor. Methods The clinical data of 30 cases of appendiceal mucinous tumors confirmed by pathology in Jiangyin people's hospital was analyzed retrospectively. Results Of the 30 cases, 9 cases were mucinous adenoma, 1 case was mucinous adenocarcinoma, and the other 20 cases were all mucocele of appendix. All patients underwent surgical treatment, of which 1 case with pseudomyxomaperitonei recurrence after fifth years died, the remaining 29 cases didn't had recurrence of appendiceal mucinous tumor and metatasis. Conclusion Appendiceal mucinous tumors are rare in clinic practice, lack of specific symptoms, and diagnosis of which is difficult before surgery. There is a high chance of accidental detection during operation. The general prognosis is good without rupture during operation, once the tumor rupture, pseudomyxomaperitonei will accur after surgery, which is accompanied by a poor prognosis.

关 键 词：阑尾 黏液性肿瘤 诊断 

分 类 号：R656.8[医药卫生—外科学]