腹膜后化学感受器瘤21例临床分析  

Clinical analysis of retroperitoneal chemodectoma in 21 cases

作　　者：杨维良[1] 张东伟[1] 闫朝歧[1] 赵志[2] 张建国[3] 裴建华[4] 

机构地区：[1]哈尔滨医科大学附属第二医院普外科,150086 [2]牡丹江医学院附属医院普外科 [3]佳木斯市中心医院普外科 [4]大庆油田总医院普外科

出　　处：《中华普通外科杂志》2006年第5期339-340,共2页Chinese Journal of General Surgery

摘　　要：目的提高对腹膜后化学感受器瘤的诊治水平。方法对松花江流域4所医院收治的21例腹膜后化学感受器瘤的临床资料进行回顾性分析。结果经BUS、CT或动脉造影等辅助检查,21例均显示为腹膜后占位性肿块,其中2例经MRI及动脉造影确诊为腹膜后化学感受器瘤; 19例误诊,误诊率为90．5％(19／21)。21例痘理诊断为腹膜后化学感受器瘤,其中8例为低度恶性。 21例均行手术治疗,16例手术完整切除肿瘤,占76．2％(16／21);5例术中未能切除。其中4例于手术后11个月内死亡,1例术中死亡。16例切除者中有11例存活12年后失访,3例低度恶性者存活 8年,有2例随访3年仍存活。结论术前诊断困难,手术切除是治疗腹膜后化学感受器瘤的惟一有效的方法。Objective To elevate diagnosis level and improve treatment for retroperitoneal chemodectoma. Methods Clinical data of 21 cases with retroperitoneal chemodectoma in four hospitals of Songhua fiver drainage area were analyzed retrospectively. Results CT, Uhrasonography and arteriography delineated retroperitoneal tumor in all 21 cases including 2 cases diagnosed as having retroperitoneal chemodectoma by MRI and arteriography, 19 cases were misdiagnosed （90. 5% ）. All cases underwent surgical resection, with tumors removed completely in 16 cases （76.2%）, and 5 were irresetable. Four cases who were not resected died within 11 months postoperatively and 1 died intraoperatively in an resection attempt. In tumor resected cases, 11 have survived more than 12 years, 3 died 8 years later, 2 were still alive at the foUow-up of 2 years. Conclusion Surgical treatment is the only effective method to treat the retropofitoneal chemodectoma.

关 键 词：副神经节瘤 腹膜后肿瘤 诊断 外科手术 

分 类 号：R735.4[医药卫生—肿瘤]