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目的 总结 2 3例腹膜恶性间皮瘤的临床诊治经验。方法 对 2 3例腹膜恶性间皮瘤的临床资料进行回顾性分析。结果 2 3例均经病理确诊。临床表现主要是顽固性腹痛伴腹胀 ,顽固性血性腹水 ,多个腹块。B超、CT提示腹膜及肠系膜不规则明显增厚、多发结节或盆腔肿块。结论 有上述临床表现时应提高对本病的警惕性 ,诊断主要依靠腹膜穿刺活检、腹腔镜活检及剖腹探查 ,腹腔穿刺活检及腹腔镜活检是简便而有效的诊断手段。
Objective To summarize the clinical experience of 23 cases of peritoneal malignant mesothelioma. Methods The clinical data of 23 cases of peritoneal malignant mesothelioma were analyzed retrospectively. Results 23 cases were diagnosed by pathology. Clinical manifestations are mainly refractory abdominal pain with bloating, intractable bloody ascites, multiple abdominal block. B ultrasound, CT prompting irregular peritoneal and mesentery was significantly thicker, multiple nodules or pelvic mass. Conclusion The above clinical manifestations should be increased vigilance of the disease diagnosis mainly depends on peritoneal biopsy, laparoscopic biopsy and laparotomy, abdominal puncture biopsy and laparoscopic biopsy is a simple and effective diagnostic tool.