原发性腹膜后肿瘤的诊断及治疗

Diagnosis and treatment of primary retroperitoneal tumor

目的 探讨原发性腹膜后肿瘤的诊断及治疗 ,提高早期诊断正确率与手术切除率。方法 回顾性分析了我院 1990～ 2 0 0 0年经手术证实的 86例原发性腹膜后肿瘤临床资料。结果 69 .7%患者以腹部、腰部肿块和 /或腹痛就诊 ,术前确诊率为 5 2 .6%。获得随访 62例 ,肿瘤完全切除者术后 2年生存率为 61.3 % ,姑息切除及探查活检者均在 1年内死亡。良、恶性肿瘤完整切除率为 81.3 %、3 7% ,复发率分别为 15 .4%、60 %。 16例术后复发 ,其中 9例再次行手术切除。结论 早期诊断 ,首次手术的彻底性 ,术后定期复查是提高生存率的三个环节 ;

Objective To investigate the diagnosis and treatment of primary retroperitoneal tumor,and improve the early correct diagnostic rate and the resection rate.Method 86 patients with primary retroperitoneal tumor(PRT) were analyzed by review of the clinical materials from 1990 to 2000.Results Abdominal or waist pain was the main symptom,and abdominal or waist mass was the main sign.52.6% percent of the patients got correct diagnosis before operation.62 cases were followed up,the 2-year survival rate for complete resection cases were 61.3%,while the patients who received palliative resection or biopsy died within one year.The resection rate of tumors was 81.3% in benign tumors and 37.7% in malignant tumors,the recurrent rates after complete resection were 15.4%,60%,respectively.Conclusions The earlier diagnosis,totally removal of tumors at first time,periodic examination after operation are three important ways.The operative treatment is very imperative for the patients with recurrence.