内容提要：

1. 腹膜转移的分期标准

2. 腹膜转移的综合治疗策略

3. 癌性腹水的对症治疗与系统化疗

大约10%的胃癌患者存在腹水，检出腹水大于50ml 的胃癌患者，腹膜转移的发生率高达75%以上，并且常伴有多种并发症，处理难度大。日本的一项回顾性研究证明有腹膜转移的胃癌患者预后显著降低。

而针对癌性腹水，现在尚无基于循证证据的治疗指南。

腹水是影响患者生存预后的核心因素之一。根据患者的情况，应选择合适的治疗方案，包括对症治疗、全身系统化疗及腹腔灌注化疗。

(最下方有课程中涉及的文献信息）

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文献资料：

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