原发性腹膜后肿瘤外科治疗

Surgical Treatment of Primary Retroperitoneal Tumor

目的 探讨原发性腹膜后肿瘤的诊断、治疗和总结其手术治疗经验。方法 回顾性分析手术治疗的 2 6例原发性腹膜后肿瘤病人的临床资料。结果 13例良性肿瘤和 10例恶性肿瘤均能完整切除 ,只有 3例恶性肿瘤行非完整性切除 ,其中 1例两周内复发于术后 2 8d死亡。结论 原发性腹膜后肿瘤IVP、BUS、CT和MR检查对手术前的准备和受累器官的正确估计非常重要 。

Objective To investigate diagnosis and surgical treatment of primary retroperitoneal tumor. Methods The clinical data of 26 cases with primary retroperitoneal tumor was retrospectively analyzed.Results 13 cases with benign tumor and 10 cases with malignant tumor underwent total resection, only 3 cases with malignant tumor underwent local resection. One case with malignant tumor recurred within 2 weeks and death after operation about 28 days.Conclusions IVP,B-ultrasonography, CT and MR diagnosis of primary retroperitoneal tumor is very important for preparation of preoperation and estimation of target organ. Repeatedly operation can improve cure rate.