32例原发性腹膜后肿瘤的诊治

Diagnosis and treatment of primary retroperitoneal tumors with major manifestations of urology system(32 case reports)

目的探讨以泌尿系症状为首发临床表现的原发性腹膜后肿瘤(primary retroperitoneal tumor,PRT)的诊治。方法对1993-2004年间以泌尿系症状为首发的PRT 32例患者,就其诊断方法和治疗进行分析。结果泌尿系临床表现主要以腰部肿块、腰部酸痛、血尿或肾积水最为常见,B超及CT是诊断本病的主要手段。本组病例18例肿瘤完整切除(56.25%),其中联合脏器切除4例(12.5%)。9例部分切除,5例无法切除仅行病理活检。结论以泌尿系症状为主要表现的PRT,完善的术前准备和联合脏器切除可以提高完整切除率,对其诊治有重要意义。

Objective To explore the diagnosis and treatment of the primary retroperitoneal tumor（PRT）, which firstly manifested with signs and symptoms of the urology system. Methods The clinical data of 32 cases of PRT during 1993 to 2004, which were diagnosed by manifestations of urology system, were analyzed. Results Flank mass, flank pain, hematuria and nephrohydrosis were the main symptoms in these cases. Ultrasound and CT scanning were the most effective diagnostic methods. Complete resections were performed in 18 patients （56.25%）, among whom 4 patients accepted combined organ resections. Partial resection was chosen for 9 patients. Resection couldn＇t be performed in 5 patients so only biopsy was conducted. Conclusion preparation and combined For those PRT patients with clinical manifestations in the urology system, effective pre-operation organ resection can bc helpful in the complete resection of the primary tumor.