腹膜假黏液瘤7例临床分析

目的探讨腹膜假黏液瘤的临床特征、诊断和治疗。方法回顾性分析2000年1月～2011年8月潍坊医学院附属医院（5例）和济宁市中区妇幼保健院（2例）住院的诊断明确、资料完整的7例腹膜假黏液瘤病例。结果7例患者均经手术治疗，3例复发，其中2例行多次手术治疗。术后6例辅以术后化疗，1例未行特殊治疗。随访：术后随访率为100％，1例1年内死亡，最长存活者已达8年。结论腹膜假黏液瘤是一种少见病，术前诊断较为困难，腹腔穿刺抽出胶样液应首先考虑该病的可能性，B超、CT和CEA检查对诊断有帮助。多数患者术中探查可见腹腔内广泛病变，往往需要采取多次减瘤术。手术治疗并辅以化疗仍是目前有效的治疗手段。

Clinical analysis of seven patients with peritoneal pseudomyxoma

Objective To investigate the clinical features, diagnosis and treatment of peritoneal pseudomyxoma. Meth- ods Seven patients with peritoneal pseudomyxoma （PMP） having accurate diagnosis and complete data in the affiliated hospital of Weifang medical college （5 patients） and the sizhong district maternal and child care service center of Jin- ing （2 patients） from January 2000 to August 2011 were analyzed retrospectively. Results All the 7 patients received surgical treatment, of whom 3 cases had relapse and 2 cases received multiple surgeries. 6 patients received postoper- ative chemotherapy and one did not receive any special treatments. Follow-up： the postoperative follow-up rate was 100%; one patient died within one year and the longest survival time was 8 years. Conclusion Peritoneal pseudomyxo- ma is a rare disease, of which, the preoperative diagnosis is difficult. If abdominal puncture extracts glue-like liquid, the possibility of the disease should be first considered. B ultrasound, CT and CEA examination are conducive to the diagnosis. A wide range of lesions are seen in the abdominal cavity of most patients, which requires multiple cytore- ductive surgeries. Surgical treatment supplemented by chemotherapy has been the most effective treatment method cur- rently.