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本文报告5例腹膜恶性间皮瘤。均行手术治疗．其中回例术后13个月复发再次手术切除。术后主要辅以腹腔化疗。2例术后随诊12个月和15个月后失访，其他3例分别随访27、14、8个月，现均存活。平均存活时间已达15个月。分析显示，本病有可能从良性腹膜疾病恶变而来，可表现为包块自发性破裂。此病术前确诊困难，凡腹部包块伴腹水，在排除腹腔和盆腔脏器其他恶性肿瘤转移及肝硬变门静脉高压症后，应考虑本病。积极手术治疗，复发后争取再次手术切除，术后辅以腹腔和全身化疗、免疫制剂等综合治疗，可望延长病人生存期，改善生活质量。
This article reports 5 cases of peritoneal malignant mesothelioma. All surgical treatment. Among them, 13 cases of recurrence of recurrence were re-surgically removed. Postoperatively supplemented by intraperitoneal chemotherapy. Two cases were followed up after 12 months and 15 months. The other 3 cases were followed up for 27, 14 and 8 months and they all survived. The average survival time has reached 15 months. Analysis shows that the disease may be from benign peritoneal malignancy, can be expressed as spontaneous rupture of the mass. The disease is difficult to diagnose before surgery, where abdominal mass with ascites, in the removal of abdominal cavity and other pelvic organ metastasis and liver cirrhosis after portal hypertension, should consider this disease. Active surgical treatment, recurrence after fighting for re-surgical resection, supplemented by abdominal and systemic chemotherapy, immunization agents and other comprehensive treatment, is expected to extend the survival of patients and improve the quality of life.