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阑尾粘液囊肿临床少见,本组8例,并发少见腹膜假性粘液瘤1例。本病为阑尾根部梗阻引起。术前较难明确诊断。本组1例确诊。术中发现阑尾有不典型表现时应行术中冰冻切片检查。良性阑尾粘液囊肿、阑尾远端2/3囊腺癌,施行阑尾切除预后好。囊腺癌累及阑尾近端1/3时应行右半结肠切除。并有腹膜假性粘液瘤应彻底清除腹腔内胶冻样物,切除大网膜,卵巢受侵时予以切除,周边组织受累应同时切除。术中、术后可予化疗。预后差。多因肠梗阻、肾功能衰竭而死亡。
Appendiceal mucinous cysts are rare in clinical practice. There were 8 cases in this group, and one case of pseudomyxoma of the peritoneum was rare. This disease is caused by the obstruction of the appendix root. It is difficult to confirm the diagnosis before surgery. This group was diagnosed in 1 case. Intraoperative frozen section examinations should be performed if there is an atypical presentation of the appendix. Benign appendicular mucinous cysts, 2/3 cystic adenocarcinoma of the appendix, and appendectomy have a good prognosis. When the cystadenocarcinoma involves the proximal 1/3 of the appendix, right colon resection should be performed. The peritoneal pseudomyxoma should be completely cleared of intra-abdominal jelly-like material, removal of the omentum, excision of the ovary when the invasion, the involvement of the surrounding tissue should be removed at the same time. Intraoperative and postoperative chemotherapy can be given. Poor prognosis. Many died of intestinal obstruction and renal failure.