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目的 提高腹腔镜检查对恶性腹膜间皮瘤 (MPM)的诊断率 ,加强对MPM的认识。方法 回顾分析 2 5例经病理证实的MPM患者的腹腔镜表现。结果 2 5例 ( 10 0 % )患者均有腹膜壁层不同程度充血、水肿、血管网模糊、并可见厚薄不均的胼胝样增厚。壁、脏层腹膜均可见分布不均、大小不等、数量不一的灰白色结节。 2 1例 ( 84% )患者腹腔内见大小不等的包块 ,包块充血、水肿明显 ,颜色较深 ,质脆 ,数量多少不一 ,可为一个或数个 ,或数个小包块连结成一个大包块。 2 5例均可见黄色浑浊或血性腹水。结论 MPM在腹腔镜下有其特点 ,腹腔镜检查具有安全、微创、痛苦小、确诊率高等优点 ,腹腔镜检查加活检是诊断MPM的最好方法。
Objective To improve the diagnostic accuracy of laparoscopy for malignant peritoneal mesothelioma (MPM) and to strengthen the understanding of MPM. Methods Retrospective analysis of 25 cases of pathologically confirmed MPM patients with laparoscopic performance. Results Twenty-five patients (100%) had varying degrees of congestion and edema on the peritoneal parietal wall. The vascular network was obscure, and thickening of the corpus callosum was observed. Wall, visceral peritoneal uneven distribution are visible, the size range, the number of gray-white nodules. In 21 cases (84%), intraperitoneal masses of different sizes were seen in the peritoneal cavity. The masses of the masses were massive and edematous, with darker color and crispness. The number of the masses varied from one to several or several small masses Into a large package. 25 cases were visible yellow cloudy or bloody ascites. Conclusions MPM has its own characteristics in laparoscopy. Laparoscopy has the advantages of safety, minimal invasion, little pain and high diagnosis rate. Laparoscopy combined with biopsy is the best way to diagnose MPM.