腹膜后神经源性肿瘤的诊断与治疗  

Diagnosis and treatment of retroperitoneal neurilemma tumor

作　　者：杜晓辉[1] 李荣[1] 宋少柏[1] 

机构地区：[1]解放军总医院普通外科,北京100853

出　　处：《临床外科杂志》2004年第3期150-151,共2页Journal of Clinical Surgery

摘　　要：目的　探讨腹膜后神经源性肿瘤的诊断与治疗方法。方法　回顾性分析 61例腹膜后神经源性肿瘤患者的诊治方法。结果　 2 1例以腹痛、2 0例以腹部包块、14例以下肢疼痛麻木就诊、6例无临床症状。所有患者均行B超、CT检查 ,均发现腹膜后占位。全部病例均行手术治疗 ,病理诊断良性 40例 ,恶性 2 1例 ,包括神经鞘瘤 2 4例 ,神经纤维瘤 16例 ,恶性神经鞘瘤 19例 ,神经纤维肉瘤 2例。结论　B超、CT、MRI对定位诊断有决定意义 ,但术前定性确诊困难 ,手术是唯一有效的治疗方法。术前需做好肠道准备并充足备血 ,术中注意保护受累及神经的完整性。Objective To explore the diagnosis and treatment of retroperitoneal neurilemma tumor.Methods The diagnosis and treatment of 61 surgically treated patients with retroperitoneal neurilemma tumor were retrospectively analyzed.Results The clinical manifestations included abdominal pain (21 cases),abdominal mass (20 cases), inferior extremitas pain and numbness (14 cases).The remaining 6 cases had no clinical symptoms.All the paitents were subjected to the examinations of B-ultrasound and CT and treated surgically. Twenty-four cases were pathologically diagnosed as having nerilemmoma,16 having neurofibroma,19 having malignant nerilemmoma and 2 having neurofibrosarcoma.Conclusion B-ulstrasound,CT and MRI are helpful for diagnosis.Surgical resection is the only effective method for treating this disease.Preparation of intestinal tract and blood before operation,keeping the intact of involement nerve are important to the resection of tumor.To avoid residuing tumor and disposing intervertebral foramen exactly is the key to prevent tumor recurrence.

关 键 词：腹膜后肿瘤 神经鞘瘤 神经纤维瘤 诊断 

分 类 号：R735.4[医药卫生—肿瘤]