Diagnosis and Treatment of Traumatic Rapture of Diaphragm (Report of 32 Cases)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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向进见 , 沈世强 , 童仕伦 , 韩亮

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Keywords：

腹膜假性粘液瘤; 诊断; 治疗

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目的探讨腹膜假性粘液瘤的诊断和治疗。方法对本院1988~2002年收治的5例腹膜假性粘液瘤的临床资料进行回顾性分析，并结合文献加以讨论。结果该5例患者的主要临床表现为腹胀、腹痛、腹部包块，其中4例行减瘤手术治疗，并在术后辅以腹腔内化疗。术后随访，1例3年内死亡，1例7年内死亡，另2例现已分别存活9年零5个月和3个月。结论腹膜假性粘液瘤是一种少见疾病，其来源多见于阑尾，术前诊断困难，多次针吸和血清癌胚抗原检查对诊断可能有帮助。多数患者术中探查可见腹腔内广泛病变，一次清除很困难，往往需采取多次减瘤术。外科手术治疗仍是目前有效的治疗手段。

Citation： 向进见,沈世强,童仕伦,韩亮. Diagnosis and Treatment of Traumatic Rapture of Diaphragm (Report of 32 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2003, 10(1): 53-54. doi: Copy

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1. Shen DH, Ng Ty, Khoo US,et al. Pseudomyxoma peritoneia heterogenous disease [Ｊ]. Int J Gynaecol Obstet, 1998; 62(2)∶ 173.
2. Ronnett BM, Yan H, Kurman RJ, et al. Patients with pseudomyxoma peritonei associated with disseminated peritoneal adenomucinosis have a significantly more favorable prognosis than patients with peritoneal mucinous carcinomatosis [Ｊ]. Cancer, 2001; 92(1)∶ 85.
3. Kishimoto S, Kameyama M, Kodama K, et al. A case report of malignant pseudomyxoma peritonei treated by a new modality of intraperitoneal chemohyperthermia [Ｊ]. Gan to Kagaku Ryoho, 1993; 20(11)∶ 1703.
4. Gough DB, Donohue JH, Schutt AJ, et al. Pseudomyxoma peritonei. Longterm patient survival with an aggressive regional approach [Ｊ]. Ann Surg, 1994; 219(2)∶ 112.
5. Sugarbaker PH. Cytoreductive surgery and peri-operative intraperitoneal chemotherapy as a curative approach to pseudomyxoma peritonei syndrome [Ｊ]. Eur J Surg Oncol, 2001; 27(3)∶ 239.
6. Hinson FL, Ambrose NS. Pseudomyxoma peritonei [Ｊ]. Br J Surg, 1998; 85(10)∶ 1332.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Diagnosis and Treatment of Traumatic Rapture of Diaphragm (Report of 32 Cases)

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