【摘要】 目的 对照手术病理，分析原发性腹膜恶性间皮瘤超声图像的表现。方法 对照超声图像，回顾性总结11例经手术和尸解证实的原发性腹膜恶性间皮瘤病例。结果 超声图像特点：(1)壁层腹膜弥漫增厚似胎儿胎盘，脏层腹膜增厚常见消化道，充气肠袢被增厚腹膜包裹及粘连形成较大肿块，呈假肾征声像。(2)中至大量腹水。在超声引导下用自动活检枪取材病检效果好。结论 超声显像对该肿瘤诊断与鉴别诊断很有价值。

    【关键词】 超声检查；腹膜肿瘤；间皮瘤

    Ultrasonographic analysis of primary malignant peritoneal mesothelioma

    LIANG Hong-min，XIANG Sha-li.Department of Ultrasonography,The First Affiliated Hospital，Kunming Medical College，Kunming 650032,China

    【Abstract】 Objective To analyse the ultrasonographic presentations of primary malignant mesothelioma.Methods By comparing the pictures from ultrasound,eleven primary malignant mesothelioma cases proved by operation or autopsy were reviewed.Results The results showed the characteristics of primary malignant mesothelioma in ultrasonography as the following:(1) the parietal peritoneum was thickened like placenta,and the visceral peritoneum was also thickened.It was often shown that the digestive system and intestinal loops were surrounded by those thickened peritoneum.They were stuck together and then became a large mass.They looked like pseudorenal sign or ring target sign.(2) There were large or morderate amount of ascites.Biopsy should be performed under the guidance of ultrasound.Conclusion It is very useful and helpful for diagnosing and distinguishing primary mesothelioma to perform ultrasonography. ......