盆腔腹膜后肿瘤手术并髂血管切除与重建  

Operation of pelvic retroperitoneal tumor with resection and reconstruction of iliac vessels.

作　　者：陈福真[1] 杨珏[1] 史振宇[1] 符伟国[1] 

机构地区：[1]上海医科大学中山医院血管外科,200032

出　　处：《中国实用外科杂志》2000年第6期351-352,共2页Chinese Journal of Practical Surgery

摘　　要：目的　探讨累及髂动静脉的盆腔腹膜后肿瘤手术切除时 ,髂血管的处理方法 ,以提高切除率。方法　总结 1994年 7月至 1999年 6月手术切除累及髂动静脉的盆腔腹膜后肿瘤 14例 ,合并髂动静脉切除及重建的经验。其中合并右侧髂动静脉切除与重建 6例 ,合并左侧髂血管切除与重建 8例。结果　随访 3个月至 5年 ,平均随访 3 2年。 3例肿瘤复发再切除 ,无一例死亡。结论　累及髂动静脉的盆腔腹膜后肿瘤手术合并髂血管切除与重建安全、有效、可行 ,大大提高肿瘤切除率 ,降低复发率。Objective To study the surgical manipulation of iliac blood vessels invaded by pelvic tumors in order to raise the resection rate.Methods Review the 14 cases of resection for pelvic retroperitoneal tumors along with the reconstruction of iliac blood vessels in our hospital from July 1994 to June 1999,in which 6 operations were performed on the right iliac arteries and veins while 8 cases on the left.Results After follow-up of 3 months to 5 years(average 3 2 years),there were 3 patients of recurrence needing secondary operation and there was no mortality.Conclusion Combined resection of pelvic retroperitoneal neoplasm and reconstruction of iliac blood vessels is safe,effective and practical,and it can raise the excision rate and decrease the recurrence rate.

关 键 词：盆腔腹膜后肿瘤 人造血管 髂血管切除 

分 类 号：R735.406[医药卫生—肿瘤] R654.4[医药卫生—临床医学]