原发性腹膜后恶性肿瘤73例预后分析  

73 Cases of Malignant Tumor Prognosis of Primary Retroperitoneal

作　　者：罗水祥 

机构地区：[1]乐山市中区人民医院肿瘤外科,四川乐山614000

出　　处：《医学信息》2013年第6期160-161,共2页Journal of Medical Information

摘　　要：目的评价膜后恶性肿瘤病的预后。方法回顾性分析2008-2011年收治的73例原发性腹膜后恶性肿瘤的诊治情况。运用Cox比例风险回归模型分析组织分化程度、组织学类型、手术方式、化疗对存活率的影响。结果恶性程度中度至高度者41例．占56．1％，低度恶性为32例，占43．8％。根治性切除30例，广播根治术21例，姑息性切除18例，未手术切除4例。组织的分化程度和手术方式对复发和存活率的影响较大（P〈0．05）。结论肿瘤的分化程度和根治性外科手术切除是决不定期原发性腹膜后恶性肿瘤预后的主要因素。根治性手术切除同样对控制复发性的肿瘤有效。Objective to evaluate the prognosis of malignant neoplastic disease after the film. Methods retrospective analysis of 2008-2011 of 73 cases of patients with primary retroperitoneal malignant tumor diagnosis and treatment of the situation. Using Cox proportional risk regression model analysis tissue differentiation degree, histological type, operation mode, the influence of chemotherapy for survival. Results malignant degree is moderate to high 41 cases, accounting for 56.1%, low grade for 32 cases, accounting for 43.8%.Radical resection of 30 cases, radio 21 cases of radical mastectomy, palliative resection and cases, 4 cases were not surgical resection. The differentiation of organization and operation method of recurrence and survival rate influences （P 〈 0.05）. Conclusion tumor differentiation degree and radical surgical resection is not regular primary retroperitoneal malignant tumor the main factors of prognosis. Radical surgery also to control the recurrent tumor effectively.

关 键 词：原发性腹膜后肿瘤 脂肪肉瘤 神经鞘膜瘤 

分 类 号：R735.4[医药卫生—肿瘤]