摘要
目的总结原发性腹膜后肿瘤(PRT)的诊断和治疗经验。方法回顾性分析2004~2008年经安徽医科大学附属第一人民医院收治的50例原发性腹膜后肿瘤,分析总结患者基本特征、其病理学类型、影像学检查,外科手术治疗等临床资料。结果男23例,女27例,中位年龄43.7岁。病程3 d^2年半。临床表现主要以腹部包块、腹痛、腹胀和腰背痛为主,超声、CT、MR I等影像学检查是目前PRT最主要的诊断方法,本组病例中良性20例,恶性30例。完整切除39例,肿瘤完全切除率78%,其中联合脏器切除12例。3例部分切除。病理学类型主要是脂肪肉瘤9例,畸胎瘤6例,梭形细胞瘤5例,神经鞘瘤4例,嗜络细胞瘤4例,平滑肌瘤4例,余下少见类型有18例。结论影像学检查对术前诊断和确定手术切除范围有重要意义;手术切除是PRT的最主要的手段,充分的术前准备、多专科的参与,是完成手术的关键;联合脏器切除可以提高肿瘤完整切除率,对其诊治有重要意义。
Aim To summarize the experience of diagnosis and surgical treatment of primary retroperitoneal tumor.Methods Clinical data of 54 cases with PRT treated 2004 to 2008 in the First Affiliated Hospital of Anhui Medical University were retrospectively analyzed including the cases charactaristics,image examination,pathologic examination,surgical procedure and prognosis.Results 50 patients were collected in the analysis.Abdominal package soon,bellyache,abdominal distention,lumbodorsal pain were common in the patients with primary retroperitoneal tumor,Ultrasound,CT,MRI examination could effectively applied,In them,23 patients were males 27 patients were females,and the median age was 43.7 years.Complete resections were performed in 39 patients（78%）,among whom 12 patients accepted combined organ resections.Partial resection was chosen for 3 patients.Pathological type was mainly liposarcoma in 9 cases,teratoma in 6 cases,5 cases of spindle cell tumor,Schwannoma in 4 cases,addicted to network cell tumor in 4 cases,Leiomyoma in 4 cases,and the remaining 18 cases of rare types.Conclusion Preoperative image examinaton is crucial for the diagnosis and the evaluation of the perative respectability.The surgical excision is the main method in the treatment of primary retroperitoneal tumors.Abundant preoperative preparation,many expert branch surgery enlisting are the keys to complete tumor resection.Combined organ resection can be helpful in the Complete resection of the primary tumor.
出处
《安徽医药》
CAS
2010年第9期1058-1060,共3页
Anhui Medical and Pharmaceutical Journal
关键词
原发性腹膜后肿瘤
诊断
治疗
primary retroperitoneal tumor
diagnosis
treatment
