原发性腹膜后肿瘤的诊断与治疗  

Diagnosis and treatment of primary retroperitoneal tumor

作　　者：夏绍友[1] 李荣[1] 刘苏健[1,2] 

机构地区：[1]解放军总医院普通外科,北京100853 [2]北京航天总医院普通外科,北京100076

出　　处：《第二军医大学学报》2009年第5期545-548,共4页Academic Journal of Second Military Medical University

摘　　要：目的:探讨原发性腹膜后肿瘤(primary retroperitoneal tumor,PRPT)的诊治经验。方法:回顾性分析2000年1月至2008年6月315例PRPT患者的临床资料和随访结果,总结临床诊治经验。结果:315例原发性腹膜后肿瘤良、恶性之比0.55:1。手术治疗294例,完整切除161例,联合切除69例,部分姑息切除64例;21例未行手术。恶性肿瘤完整切除患者预后优于部分切除(P<0.05)。结论:影像学检查可有效诊断PRPT;手术完整切除肿瘤是PRPT治疗的关键,再次手术是复发性PRPT的有效治疗手段。Objective：To summarize our experience on the diagnosis and surgical treatment of primary retroperitoneal tumor （PRPT）. Methods： The clinical data of 315 patients with primary retroperitoneal tumor （from Jan. 2000 to Jun. 2008） were retrospectively analyzed, and the clinical experience on diagnosis and treatment was summarized. Results： The ratio of benign to malignant tumors in our group was 0.55 ： 1. Totally 294 patients received operation,including 161 cases of radical resection, 69 cases of combined resection,and 64 partial palliative resection. Twenty-one patients received no operation. The prognoses of patients who received radical resection for malignant tumors were significantly improved compared with those of patients who received partial palliative resection （P〈0.05）. Conclusion： Imaging diagnosis can effectively identify PRPT. Complete resection is the key for treatment of PRPT,and reoperation is an effective treatment for recurrent PRPT.

关 键 词：腹膜后肿瘤 外科手术 复发 预后 

分 类 号：R735.4[医药卫生—肿瘤]