原发性腹膜后肿瘤26例临床诊治分析  

Diagnosis and treatment of primary retroperitoneal tumor

作　　者：王准[1] 朱春富[1] 张京平[1] 王克俊[1] 朱平[1] 

机构地区：[1]南京医科大学附属常州市第二人民医院普外科,213003

出　　处：《中国现代医药杂志》2009年第11期65-67,共3页Modern Medicine Journal of China

摘　　要：目的总结原发性腹膜后肿瘤(primary retroperitoneal tumor,PRT)的临床诊治。方法回顾分析我科26例PRT患者的临床资料。结果26例患者均行手术治疗,术后病理证实为PRT,其中,良性肿瘤8例,恶性肿瘤18例。完整切除率:良性肿瘤8例(100%),恶性肿瘤10例(55.6%)。肿瘤最小约3cm×3cm×2cm,最大约23cm×15cm×12cm。随访33±9月,5例良性肿瘤病例全部得到随访,至今未见复发;恶性肿瘤中随访16例,5例不能切除者皆在6～15个月内死亡;11例完整切除者1、3、5年存活率分别为100%、75%和22.2%。结论PRT中恶性肿瘤占多数,与周围脏器或大血管粘连时切除困难,手术切除肿瘤的彻底性与病理类型是影响PRT预后的主要因素。Objective To summarize the diagnosis and surgical treatment of primary retroperitoneal tumor （PRT）. Methods The clinical data of 26 eases admitted in our hospital from January 1995 to May 2009 were analyzed retrospectively. Results All the 26 cases received surgical operation and 8 cases were diagnosed as benign PRT and 18 cases as malignant PRT by histopathology. All the cases with benign PRT underwent complete surgical resection and of the 18 cases with malignant PRT, 10 cases underwent complete resection, 5 cases underwent biopsy and 3 cases partial resection of PRT. The sizes of PRT were about from 3cm×3cm×2cm to 23cm×15cm×12cm. With a follow-up of 33±9m, the 1-, 3-, 5-year survival rate of malignant PRT was 100%,75% and 22.2% respectively. Conclusion Most of the PRT were malignant. And the prognosis of patients with PRT were related to the surgical resection and the histopathology.

关 键 词：腹膜后肿瘤 原发性 诊断 治疗 

分 类 号：R735.4[医药卫生—肿瘤] R155.3[医药卫生—临床医学]