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恶性腹膜间皮瘤的诊治体会

Experience of diagnosis and treatment for malignant peritoneum mesothelioma

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【作者】 林帆朱光辉庄思敏古立诚

【Author】 LIN Fan, ZHU Guang-hui, ZHUANG Si-min,GU Li-cheng (Department of general surgery, The First People’s Hospital of Guangzhou, Guangdong Guangzhou 510180,China)

【机构】 广州市第一人民医院普外科!广东广州510180

【摘要】 目的 :探讨恶性腹膜间皮瘤的诊治新法。方法 :回顾、分析了 8例患者的临床表现、实验室检查、特殊检查和其他诊断手段以及治疗方法。结果 :行B超、CT、腹水检查有阳性发现 ,有的以剖腹探查确诊。该 8例病人中只有 1例生存超过两年 ,余均在一年内死亡。结论 :目前恶性腹膜间皮瘤的诊断尚无特异方法 ,腹水检查、腹腔镜活检有很大价值。治疗及预后与该病的生物学特性有关 ,组织病理呈局限型者预后较好 ,弥漫型则很差。

【Abstract】 Objective:To explore the new methods of diagnosis and treatment for malignant peritoneum mesothlioma(MPM). Methods:8 cases about the clinical feature,lab checking special checking and other diagnosis procedures and the methods for treatment were retrospectedand analyzed. Results: B-ul trasonic, CT, the ascites were founded to be positive with quite a few cases. Several cases were earned to last diagnosis by abdominal incision and probing. For the 8 cases, Only one survived two years, the others were all dead in one year.Conclusion:There are no special diagnosis measures for MPM up to now.The ascites,laparoscope are valuable.The effect for remedy and prognosis has something to do with its biological character, the prognosis is a little better if the histopathology is localized, Yet the diffusion is dreadful.

  • 【文献出处】 河北医学 ,Hebei Medicine , 编辑部邮箱 ,2001年02期
  • 【分类号】R735.5
  • 【被引频次】3
  • 【下载频次】44
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