原发性腹膜后肿瘤临床诊治探讨

Clinical discussion on diagnosis and treatment of primary retroperitoneal tumors

目的:探讨原发性腹膜后肿瘤(primary retroperitoneal tumor,PRT)的临床诊治经验。方法:回顾性分析我院2008年1月至2012年12月间收治的132例PRT患者的临床资料。结果:PRT主要症状包括腹部包块和腹痛、腹胀,超声、CT、MRI等影像学检查可有效检出肿瘤并指导临床治疗方案。132例患者中行肿瘤完全切除术99例,其中联合脏器切除术14例,肿瘤部分切除术17例,因患者个人原因拒绝手术16例。PRT患者术后1年、3年和5年生存率分别为93.97%、79.09%、53.96%。结论:综合运用各种影像学检查并尽可能完整切除肿瘤是PRT诊治的关键。

Objective：To discuss the experience in diagnosis and treatment of primary retroperitoneal tumor（PRT）. Methods：Retrospectively- analysed the clinical data of 132 patients with PRT from January 2008 to December 2012. Results：Main symptoms of PRT include abdominal mass and abdominal pain, abdominal distension. Ultrasound, CT and MRI examinations were effective and can guide clinical treatment. 116 patients received operation,complete resection of tumors was performed in 99 cases, combining contiguous organs resection in 14 cases, 17 cases underwent partial resection of tumors, 16 cases refused operation for their own reasons. The survival rates of 1,3 and 5 years in patients underwent resection of tumors were 93.97% ,79. 09% ,53.96% respectively. Conclusion：Synthetically using imaging examination and resect tumors as much as possible are the key of diagnosis and treat-ment of PRT.