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腹膜假粘液瘤指有粘液性腹水伴腹膜种植。大多起源于阑尾或卵巢的粘液性肿瘤,患者常于手术后1~2年内,因复发肠梗阻而需重复剖腹。临床表现有多次复发的特性。已知有多种方法治疗本病。如:外照射、化疗、溶粘液剂及放射性胶体,以图防止复发或推迟复发的间歇。但对各种疗效至今尚无确切的评价。Green 等研究应用5%右旋糖水溶液,经重复穿刺注入,使粘液变稀易于除去,同时可能除去产生粘液的细胞,用来治疗腹膜假粘液瘤术后的粘液再积聚。从而,避免重复剖腹。本文为首例报道用于临床。患者因腹围增大,检查发现盆腔肿块伴腹水而
Peritoneal pseudomyxoma refers to a mucinous ascites with peritoneal planting. Mostly originated in the appendix or ovary of mucinous tumors, patients are often within 1 to 2 years after surgery, due to recurrence of intestinal obstruction and need to repeat laparotomy. Clinical manifestations of multiple recurrence of the characteristics. A number of methods are known to treat this disease. Such as: external irradiation, chemotherapy, dissolved mucus and radioactive colloid, in order to prevent recurrence or postpone the intermittent relapse. However, there is no exact evaluation of various curative effects so far. Green and other studies using 5% dextrose aqueous solution, repeated puncture injection, mucus thinning easy to remove, and may remove the mucus producing cells used to treat peritoneal pseudomyxoma re-accumulation of mucus after surgery. Thus, avoiding repeated laparotomy. This is the first report for clinical use. Patients due to abdominal circumference increased, pelvic mass examination found with ascites