CAJ | 학술논문

目的探讨腹膜假性黏液瘤的诊断和治疗.方法总结32例患者的诊断及治疗过程,并复习文献.结果所有患者术后未发现淋巴结及肝、肺等处转移,存活30例,死亡2例,术后严重并发症12例,包括肠瘘7例、低血糖昏迷1例,肠梗阻2例,消化道出血1例,肾功能衰竭1例.11例患者接受了不同方法的化疗,全身化疗6例,腹腔化疗5例,腹腔热灌注化疗8例;高频热疗1例.术后随访率80%(26/32),随访时间12～24个月,存活5年1例.结论腹膜假性黏液瘤临床少见,诊断困难,影像学检查有助于诊断;治疗以手术为主,辅以化疗和/或放疗等.
목적 탐토복막가성점액류적진단화치료.방법 총결32례환자적진단급치료과정,병복습문헌.결과 소유환자술후미발현림파결급간、폐등처전이,존활30례,사망2례,술후엄중병발증12례,포괄장루7례、저혈당혼미1례,장경조2례,소화도출혈1례,신공능쇠갈1례.11례환자접수료불동방법적화료,전신화료6례,복강화료5례,복강열관주화료8례;고빈열료1례.술후수방솔80%(26/32),수방시간12～24개월,존활5년1례.결론 복막가성점액류림상소견,진단곤난,영상학검사유조우진단;치료이수술위주,보이화료화/혹방료등.
Objective To investigate the diagnosis and treatment of pseudomyxoma peritonei (PMP).Methods Retrospective study was made for 32 cases of PIMP.Results Main clinical presentations included abdominal pain, distention, mass and wasting of whole body.Uhrasonography showed heterogeneous ascites in 10 cases.Level of CEA elevated in 26 cases.All patients were performed an operation.Primary tumor was proved pathologically: 20 cases of appendiceal mutinous carcinoma, 2 eases of ovarian mutinous carcinoma and 1 case of descending colon mutinous carcinoma.Surgical procedure included resection of primary tumour, omenteetomy, removal of mucinous ascites and combined resection of organs involved.Postoperative adjuvant chemotherapy and/or radiotherapy was added.Conclusions PMP is a rare condition and difficult to diagnosis.Imaging examination and CEA may help make a diagnosis.Treatment of PMP is mainly surgical operation and adjuvant therapy.