原发性腹膜后平滑肌肉瘤33例外科治疗体会  

Experience of surgical treatment for 33 cases of primary retroperitoneal leiomyosarcoma.

作　　者：王健生[1] 石景森[1] 陈武科[1] 任宏[1] 韩月 杨毅军[1] 李国才[1] 

机构地区：[1]西安医科大学第一临床医学院,710061

出　　处：《中国实用外科杂志》2000年第9期553-554,共2页Chinese Journal of Practical Surgery

摘　　要：目的　对原发性腹膜后平滑肌肉瘤的外科治疗进行总结。方法　 1970～ 1997年收治原发性腹膜后平滑肌肉瘤 33例 ,就其临床表现、辅助检查和外科治疗进行总结分析。结果　临床表现多为腹痛及腹部包块 ,辅助检查以B超及CT诊断率最高。肿瘤完全切除率为 42 4%。肿瘤完全切除组 2年内复发 9例 ,7例为局部复发 ,再手术 8例 ,3例完全切除肿瘤。结论　影像学检查尤其是B超及CT是诊断本病的主要手段 ,手术完全切除肿瘤是治疗的主要手段 ,对复发肿瘤亦应争取再次手术。Objective To summarize the surgical treatment of the primary retroperitoneal leiomyosarcoma.Methods 33 cases of primary retroperitoneal leiomyosarcoma,which proved by operation and biopsy from 1970 to 1997 were studied.Results Abdominal pain is the main symptom and abdominal mass is the main sign .The diagnosis mainly depended on B-ultrasonography and CT scan.The whole resection rate was 42 4% in our group,7 cases with whole resection had the local recurrence within 2 years and 3 cases had whole resection again.Conclusion B-Ultrasonography and CT scan are main means to diagnose the primary retroperitoneal leiomyosarcoma,and whole resection is the best way of treatment.Patients with recurrent diseases can be treated with reoperation.

关 键 词：腹膜后平滑肌肉瘤 外科手术 PRL 术式 疗效 

分 类 号：R735.405[医药卫生—肿瘤]