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目的探讨腹膜假性黏液瘤的诊断与治疗方法。方法对中国医科大学附属盛京医院2014和2015年收治的2例腹膜假性黏液瘤患者的临床资料进行回顾性分析。结果 2例患者经其他检查均未明确诊断,后在单孔腹腔镜探查中明确诊断。手术切口长度为2~3 cm,手术操作时间均约为30 min,术中均无明显出血,术后均只使用非甾体类抗炎止痛药物1次。2例患者均在术后6 h下床活动,24 h内排气,48 h内恢复至术前的生命体征平稳、饮食睡眠正常及可自主活动的状态。结论腹膜假性黏液瘤临床少见,组织来源不定,无特异性临床表现,常规检查诊断较为困难,单孔腹腔镜在腹膜假性黏液瘤的诊断与治疗中具有明显的优势。
Objective To investigate the diagnosis and treatment of peritoneal pseudomyxoma. Methods The clinical data of 2 patients with peritoneal pseudomyxoma treated in Shengjing Hospital affiliated to China Medical University in 2014 and 2015 were retrospectively analyzed. Results Two patients were not diagnosed by other tests, and then diagnosed in single-hole laparoscopy. The length of surgical incision was 2 ~ 3 cm and the operation time was about 30 min. There was no obvious bleeding during operation. Only non-steroidal anti-inflammatory and analgesic drugs were used once after operation. All patients in 2 patients got out of bed at 6 hours after surgery and were exhaled within 24 hours. The vital signs recovered preoperatively were stable within 48 hours, and their sleep status was normal and their activities were voluntary. Conclusion Pseudomyxoma peritonei is rare, the source of tissue is uncertain and has no specific clinical manifestations. It is difficult to diagnose peritoneal pseudomyxoma. Single-hole laparoscopy has obvious advantages in the diagnosis and treatment of peritoneal pseudomyxoma.