原发性腹膜后恶性肿瘤73例预后分析  

Survival of primary retroperitoneal malignant tumor:an analysis of 73 cases

作　　者：黄文[1] 任为[1] 

机构地区：[1]重庆医科大学附属第一医院普外科,400016

出　　处：《中国实用外科杂志》2005年第7期427-428,共2页Chinese Journal of Practical Surgery

摘　　要：目的评价腹膜后恶性肿瘤病人的预后。方法回顾性分析1982～2001年收治的73例原发性腹膜后恶性肿瘤的诊治情况。运用Cox比例风险回归模型分析组织分化程度、组织学类型、分期、手术方式、化疗对存活率的影响。结果恶性程度中度至高度者41例,占56.1%,低度恶性为32例,占43.8%。根治性切除30例,广泛根治术21例,姑息性切除18例,未手术切除4例。组织的分化程度和手术方式对复发和存活率的影响较大(P<0.05)。结论肿瘤的分化程度和根治性外科手术切除是决定原发性腹膜后恶性肿瘤预后的主要因素。根治性手术切除同样对控制复发性的肿瘤有效。Objective To evaluate the prognosis of primary retroperitoneal malignant tumor.Methods The clinical data of 73 cases of primary retroperitoneal malignant tumor from 1992 to 2001 in the First Affiliated Hospital of Chongqing University of Medical Sciences were reviewed,retrospectively.The relationship between survival rate and clinicopathological parameters including type of operation,clinic stages,degrees of differentiation and chemotherapy was analyzed by Cox proportional hazard model.Results Forty-one cases (56.1% ) were moderate and high malignancy and 32 cases (43.8%) were low malignancy.Curative resection was performed in 30 cases,extensive resection in 21 cases,palliative resection in 18 cases,and unresectable in 4 cases.Curative resection and differentiating degrees of the tumor play an important role in local recurrence and the 5-year survival rate (P<0.05).Conclusion The prognosis of primary retroperitoneal tumor depends on degrees of differentiation and means of surgery.Curative resection is effective in control of recurrent tumors.

关 键 词：原发性腹膜后肿瘤 脂肪肉瘤 神经鞘膜瘤 PRMT 静脉曲张 

分 类 号：R735.5[医药卫生—肿瘤]