CAJ | 학술논문

目的探讨腹膜假性黏液瘤的B型超声表现特点。方法回顾性分析23例经手术、腹腔穿刺和腹腔镜检查，并经病理检查证实的腹膜假性黏液瘤B型超声表现。结果恶性7例，其中卵巢黏液囊腺癌3例，阑尾黏液囊腺癌3例，结肠黏液腺癌1例；良性16例，其中卵巢黏液囊腺瘤9例，阑尾黏液囊腺瘤4例，阑尾黏液囊肿2例，胰腺黏液囊腺瘤1例。黏液腹腔积液中大量13例，少量10例；17例于腹、盆腔内共见35个直径2.3~31.0 cm的黏液包块；肝脾边缘“扇贝样”压迹7例，肠管受压12例，大网膜呈饼状11例，腹膜增厚17例，囊性包块内见蜂窝状改变6例，网状光带状分隔7例。结论腹膜假性黏液瘤B型超声图像表现具有一定特性，超声诊断PMP具有方便快捷、准确性较高优点。
목적탐토복막가성점액류적B형초성표현특점。방법회고성분석23례경수술、복강천자화복강경검사，병경병리검사증실적복막가성점액류B형초성표현。결과악성7례，기중란소점액낭선암3례，란미점액낭선암3례，결장점액선암1례；량성16례，기중란소점액낭선류9례，란미점액낭선류4례，란미점액낭종2례，이선점액낭선류1례。점액복강적액중대량13례，소량10례；17례우복、분강내공견35개직경2.3~31.0 cm적점액포괴；간비변연“선패양”압적7례，장관수압12례，대망막정병상11례，복막증후17례，낭성포괴내견봉와상개변6례，망상광대상분격7례。결론복막가성점액류B형초성도상표현구유일정특성，초성진단PMP구유방편쾌첩、준학성교고우점。
ObjectiveTo investigate the ultrasound(US)characteristics of pseudomyxoma peritonei.Methods The US images of 23 patients with histologically confirmed pseudomyxoma peritonei were analyzed retrospectively.Results The 7 malignant tumors were ovarian mucinous cystadenocarcinomas(3), appendiceal mucinous cystadenocarcinomas(3), and colonic mucinous adenocarcinoma(1) whereas the 16 benign tumors were ovarian mucinous cystadenomas(9), appendiceal mucinous cystadenomas(4), appendiceal mucoceles (2), and pancreatic mucinous cystadenoma(1). US showed large(13)or small(10)amount of mucinous ascites, scalloping of the liver and spleen margins(7), 2.3-31.0 cm abdominal and pelvic mucinous masses(35 in 17 patients), intestinal compression(12), omental caking (11), peritoneal thickening(17), honeycomb(6)or septated(7)appearance of the cystic masses.Conclusion Pseudomyxoma peritonei has characteristic US appearance that aids the diagnosis.