盆腔腹膜后肿瘤手术合并髂血管切除与重建22例报告  

Resection of pelvic retroperitoneal neoplasm and reconstruction of iliac blood vessels: report of 22 cases

作　　者：陈福真[1] 杨珏[1] 史振宇[1] 符伟国[1] 蒋俊豪[1] 

机构地区：[1]上海医科大学中山医院血管外科,200032

出　　处：《中华外科杂志》2000年第11期858-860,共3页Chinese Journal of 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 2 2例累及髂动静脉的盆腔腹膜后肿瘤患者行合并髂动、静脉切除及重建术的经验。其中合并右侧髂动、静脉切除与重建 8例 ,合并左侧髂动、静脉切除与重建 14例。　结果　随访 4个月～ 5年 10个月 ,平均随访 3 6年。 1例患者髂静脉移植物于术后 7个月出现血栓栓塞 ,2 1例移植物均通畅 ,3例肿瘤复发再切除 ,无死亡病例。　结论　对累及髂动、静脉的盆腔腹膜后肿瘤 ,行合并髂血管切除与重建的手术安全、有效 ,可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. [WT5”HZ]Methods[WT5”BZ] We reviewed 22 cases of resection for pelvic retroperitoneal tumors along with the reconstruction of iliac blood vessels in our hospital from July 1994 to January 2000. In 22 cases, 8 received operation on the right iliac arteries and veins, and 14 on the left. [WT5”HZ]Results[WT5”BZ] Follow up for 4 months to 5 years and 10 months(average 3 6 years) showed that 3 patients had recurrence and needed secondary operation. All the grafts were patent except one vein graft occlusion 7 months after operation. [WT5”HZ]Conclusion[WT5”BZ] Resection of pelvic retroperitoneal neoplasm combined with reconstruction of iliac blood vessels is safe, effective and practical to raise the excision rate and decrease the recurrence rate.

关 键 词：盆腔腹膜后肿瘤 髂血管 人工血管 

分 类 号：R735.406[医药卫生—肿瘤] R654.405[医药卫生—临床医学]