腹膜假性粘液瘤的手术治疗加腹腔置管灌注化疗21例临床研究

Clinical studies on the operation of the peritomum pseudo myxoma in combination with abdominal intubation chemotherapy-A report of 21 cases

目的 总结 2 1例腹膜假性粘液瘤的诊断和外科治疗经验。方法 对 1980年 10月至1999年 12月我院收治的 2 1例本病患者的临床资料进行回顾性分析。结果 2 1例全部治愈 ,无手术死亡。结论 根据临床表现结合腹腔穿刺得到胶冻样物质即可确诊。腹膜假性粘液瘤一旦形成粘液腹水 ,病变广泛 ,种植的细胞很难一次除净 ,容易复发 ,可进行多次手术 ,术毕腹腔内置管连续灌注化疗 ,对延长复发时间 ,提高生存率有较好的效果。

Objective To summarize the experience of the diagnosis and surgical treatment of the peritomum pseudo myxoma of 21 cases. Methods The clinical data of the peritomum pseudo myxoma of 21 cases from 1980 to 1999 were retrospectively analyzed.Results Twenty-one patients were all cured. No patients were dead during operation. Conclusions The peritomum pseudo myxoma can be diagnosed in terms of the clinical data in combination with colloid material by abdominocentesis. Once mucous ascites and wide lesions are formed, the migratory cells is difficult to be removed once and recurrence occurred easily. Repeated operations are performed. Postoperatively, abdominal intubation chemotherapy could postpone recurrent time and prolong the survival time.