摘要
目的 提高腹膜后肿瘤的手术切除率和患者的生存率。方法 回顾分析 1987～ 1999年原发性腹膜后肿瘤 2 6例 ,其中良性 9例 ,恶性 17例 ,全组切除 19例 ,姑息性切除 3例 ,探查活检 3例 ,手术死亡 1例。结果 随诊 2 4例 ,良性肿瘤 8例存活 ,恶性肿瘤完全切除组的 1、3、5年生存率分别为 80 .7%、5 9.5 %、31.6 % ,姑息切除和探查活检者预后均差。结论 提高切除率是改善预后的关键 ,尽可能完整、整块切除肿瘤及其受累器官和组织 ,将降低复发率 ,提高生存率。强调积极处理复发肿瘤。
Objective To improve the resection rate and survival rate of primary retroperitoneal tumor (PRT). Methods Twenty six patients with retroperitoneal tumor from 1987 to 1999 were retrospectively analyzed. Results Among the 26 cases of PRT, 9 were diagnosed as having benign tumor and 17 having malignant tumor. Complete resection, palliative resection and biopsy were performed in 19 patients, 3 and 3 respectively. One patient was died. Twenty four patients underwent follow up. The 1 , 3 and 5 year survival rate for complete resection was 80.7% , 59.5% and 31.6% respectively. The patients who received palliative resection and biopsy died within 18 months. Conclusions Rising removal rate is key of improving prognosis. Complete or en bloc removal of the tumor and the involved organ and tissue could decrese recurrence rate and increase survival rate as.
出处
《腹部外科》
2001年第3期153-154,共2页
Journal of Abdominal Surgery
