盆腔腹膜后肿瘤的临床特征和手术治疗

The Clinlal characteristic and operative treatment of primary pelvic retroperitoneal tumor.

目的 提高对原发性盆腔腹膜后肿瘤 (PPRT)的诊治水平。方法 回顾性分析 1980年 1月至 2 0 0 0年6月收治的PPRT3 5例。结果 PPRT的临床表现呈多样性、无特异症状 ,主要以直肠和膀胱受压症状为主。由CT、B超、MRI检查首先发现病变者 85 .7% ( 3 0 /3 5 ) ,肛诊阳性者 5 4 .3 % ( 19/3 5 )。手术的特点是合并脏器切除者多( 4 0 .4 % ) ,副损伤多 ( 17 0 % ) ,术中发生大出血者多 ( 19 1% )。结论 手术切除是PPRT的主要治疗方法 ,大出血是术中最危险的并发症 ,肛诊和B超、CT、MRI是发现病变的主要方法和定位手段。早期发现、详细的术前检查和准备对防止并发症十分重要。

Objective To improve the diagnosis and treatment of primary pelvic retroperitoneal tumor(PPRT).Methods From January 1980 to June 2000,35 cases were retrospectively analyzed.Results The clinical manifestation was diversity and nonspecific symptom but there were more rectum and bladder pressure symptom.30 cases(85.7%)were first discovered by B-us,CT and MRI.The positive rate of anal digital examination was 54 3%(19/35) The characteristic of the operation was more adjecent organs resected(40 4%),more injury occured(17 0%)and more massive hemorrage happered(19 1%).Conclusion Surgical resection was the main treatmeat method and the massive hemorrage was the most dangerous complication.Anal digital examination,B-us,CT and MRI examination were the main method and technic to discover and locate the PPRT.Early dignosis,careful preoperative examination and preparation were important to prevent operative complications.