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Laparoscopic Detection of Malignant Peritoneal Mesothelioma
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- Author:
- No author available
- Journal Title:
- JOURNAL OF CHINESE PHYSICIAN
- Issue:
- 10
- DOI:
- 10.3760/cma.j.issn.1008-1372.2004.10.004
- Key Word:
- 腹腔镜检查;恶性腹膜间皮瘤;诊断
Abstract： 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25例经病理证实的MPM患者的腹腔镜表现.结果25例(100%)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.21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.25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.
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