摘要
目的:总结原发性腹膜后肿瘤(PRT)的诊断方法和手术经验。方法:回顾性分析2007年5月至2009年4月38例经手术治疗的PRT患者,总结分析其影像学特点、病理学类型、手术治疗及随访结果。结果:良性肿瘤11例,恶性肿瘤27例,均经病理证实为PRT。肿瘤完整切除36例,姑息性切除1例,细针穿刺活检1例;合并脏器切除及血管切除重建11例;复发9例,复发后完整切除8例,姑息性切除1例。随访时间为20~43个月,11例良性肿瘤患者的1、3年生存率分别为100%和90.9%。24例恶性肿瘤患者的1、3年生存率分别为66.7%和33.3%。结论:影像学检查对PRT术前诊断和手术方式的选择具有指导意义,完整切除肿瘤,必要时合并脏器切除及血管切除重建时治疗本病的最有效的方法。
Objective: To summarize the experience in diagnosis and surgical treatment of primary retroperitoneal tumor(PRT).Methods: Clinical data of 38 PRT patients from March 2007 to April 2009 were retrospectively analyzed including image examination,pathologic examination,surgical treatment and follow-up.Results: Tumors were benign in 11 patients and malignant in 27 patients,all of that were diagnosised by pathologic examination.Of the 38 patients,36 underwent complete resection,1 uncomplete resection and 1 fine needle aspiration.11 patients underwent adjacent organ resection and vessel reestablishment.There were 9 recurrent PRT patients,8 of them underwent complete resection,1 underwent uncomplete resection.The time of follow-up were 20 to 43 months,the one-year and three-year survival rate of 11 benign PRT were 100% and 90.9% respectively.The one-year and three-year survival rate of 24 malignant PRT were 66.7% and 33.3% respectively.Conclusion: Preoperative image examination is crucial for diagnosis and operative modus.The most effective treatment of PRT is complete resection,an adjacent organ resection and vessel reestablishment if necessary.
出处
《中国现代普通外科进展》
CAS
2011年第2期116-118,共3页
Chinese Journal of Current Advances in General Surgery
基金
国家自然科学基金(30972889)
关键词
腹膜后肿瘤
诊断
外科手术
Retroperitoneal tumor·Diagnosis·Surgical procedures