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目的:总结腹膜恶性间皮瘤的临床诊治经验。方法:采用回顾性分析法,对6例腹膜恶性间皮瘤患者的临床资料进行回顾分析。结果:6例均经病理确诊。临床表现主要是顽固性腹痛伴腹胀、腹水、腹部肿块。B超、CT提示腹膜及肠系膜不规则明显增厚、多发结节或盆腔肿块。结论:当患者出现顽固性腹痛伴腹胀、腹水、腹部肿块等临床表现时应提高对本病的警惕性,诊断主要依靠腹膜穿刺活检、腹腔镜活检以及剖腹探查。腹腔穿刺活检及腹腔镜活检是简便而有效的诊断手段。
Objective: To summarize the clinical experience of peritoneal mesothelioma. Methods: The retrospective analysis of 6 cases of peritoneal malignant mesothelioma clinical data were analyzed retrospectively. Results: 6 cases were confirmed by pathology. Clinical manifestations are mainly refractory abdominal pain with bloating, ascites, abdominal mass. B ultrasound, CT prompting irregular peritoneal and mesentery was significantly thicker, multiple nodules or pelvic mass. Conclusion: When patients with stubborn abdominal pain with abdominal distension, ascites, abdominal mass and other clinical manifestations should be increased vigilance of the disease, the diagnosis depends mainly on peritoneal biopsy, laparoscopic biopsy and laparotomy. Abdominal puncture biopsy and laparoscopic biopsy is a simple and effective diagnostic tool.