原发性腹膜后肿瘤200例诊治分析  

Diagnosis and treatment of primary retroperitoneal tumor:a clinical analysis of 200 cases

作　　者：龙子雯 徐宇[1,2] 刘晓文 蔡宏 黄华[1,2] 王亚农 

机构地区：[1]复旦大学附属肿瘤医院胃及软组织外科 [2]复旦大学上海医学院肿瘤学系,上海200032

出　　处：《中国实用外科杂志》2013年第2期127-129,共3页Chinese Journal of Practical Surgery

摘　　要：目的探讨外科治疗原发性腹膜后肿瘤的疗效和预后影响因素。方法回顾性分析复旦大学附属肿瘤医院1991-2005年收治的200例原发性腹膜后肿瘤病人的临床资料。结果 200例腹膜后肿瘤经病理确诊后,其中恶性158例,良性42例。恶性腹膜后肿瘤的完全切除率为64.5%,联合脏器切除率为33.5%。恶性腹膜后肿瘤完整切除者的5年存活率为69.3%,部分切除者的5年存活率为21.5%(P<0.05)。结论通过完善术前检查可以提高肿瘤完全切除率。肿瘤完全切除是降低原发性腹膜后肿瘤复发率,提高存活率的关键。Objective To analyze the surgical therapeutic effect and prognosis influencing factors of primary retroperitoneal tumors （PRPTs）. Methods The clinical data of 200 cases of primary retroperitoneal tumor admitted between 1991 and 2005 in Shanghai Cancer Center, Fudan University were analyzed retrospectively. Results Two hundreds cases of retroperitoneal tumor were diagnosed finally by surgery and pathology including 158 cases of malignant and 42 cases of benign. Complete resection rate of malignant retroperitoneal tumor was 64.50/o, and combined organ resection rate was 33.5%. The 5-years survival rate of malignant retroperitoneal tumor performed complete resection was 69.3%, and the 5-years survival rate of partial resection was 21.5% （P〈0.05）. Conclusion Complete preoperative examination can improve the complete resection rate of tumors. Complete resection is the only effective method for the treatment of PRPTs, and it is one of the major factors in reducing recurrence.

关 键 词：原发性腹膜后肿瘤 完全切除率 联合脏器切除 

分 类 号：R6[医药卫生—外科学]