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目的 :探讨腹膜肿瘤的腹腔镜所见特点。方法 :回顾性分析 2 2例腹膜肿瘤病人腹镜检查资料。结果 :本组病人年龄 2 9～ 83岁 (平均 5 1.7岁 ) ;男 14例 ,女 8例。最终确诊恶性间皮瘤 3例、转移性腹膜癌 19例。按腹镜下主要表现分为 :结节型 11例 (5 0 % ) ;肿块型 5例 (2 2 .7% ) ;炎症型 4例 (18.2 % ) ;粘连型 2例 (9.1% )。经腹腔镜确诊 2 0例 (90 .9% )。结论 :腹镜是诊断腹膜肿瘤的可靠方法。腹镜下呈结节型或肿块型者诊断无困难。炎症型和粘连型较易误诊 ;多处腹膜活检 ,必要时作组织免疫生物检查 ,有助提高诊断准确率
Objective: To explore the characteristics of laparoscopic findings of peritoneal tumors. Methods : Retrospective analysis of 22 patients with peritoneal tumors by laparoscopy. Results: The patients aged 29 to 83 years old (mean 5 1.7 years old); 14 males and 8 females. The final diagnosis of malignant mesothelioma in 3 cases, 19 cases of metastatic peritoneal cancer. According to the main performance of the laparoscope, it was divided into 11 cases (50%) of nodular type, 5 cases (2.27%) of mass, 4 cases of inflammation (18.2%), and 2 cases of adhesion (9.1%). Laparoscopic diagnosis of 20 cases (90.9%). Conclusion: Laparoscopy is a reliable method for the diagnosis of peritoneal tumors. The diagnosis of nodules or masses under laparoscopy is not difficult. Inflammatory and adhesion-type are more likely to be misdiagnosed; multiple peritoneal biopsy, if necessary, tissue immunological biological examination, help improve the diagnostic accuracy