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目的探讨超声对恶性腹膜间皮瘤(MPM)的诊断价值。方法 19例MPM患者,分析其声像图特征,评价超声对其诊断的可行性和准确性。结果 19例均可见腹膜病变增厚,位于大网膜8例,壁层腹膜6例,脏层腹膜5例;17例为“饼”样腹膜增厚,11例呈低回声,18例病变内部回声均匀,19例均见腹腔积液。结论超声可显示MPM的形态学特征,但难以做出明确诊断,需要在超声引导下经皮穿刺活检以明确诊断。
Objective To investigate the diagnostic value of ultrasound in malignant peritoneal mesothelioma (MPM). Methods Twenty-nine patients with MPM were analyzed with sonographic features to evaluate the feasibility and accuracy of ultrasound in their diagnosis. Results Peritoneal thickening was found in all of the 19 cases. There were 8 cases in the omentum, 6 cases in the parietal peritoneum and 5 cases in the visceral peritoneum, 17 cases were pericardial thickening, 11 cases were hypoechoic, 18 cases Internal echo lesion, 19 cases were seen ascites. Conclusion Ultrasound can show the morphological features of MPM, but it is difficult to make a definite diagnosis. Ultrasound-guided percutaneous biopsy to confirm the diagnosis.