原发性腹膜后肿瘤诊治的回顾性分析  

Diagnosis and treatment of primary retroperitoneal tumors： retrospective analyses of 147 cases

作　　者：杨波[1] 王颐[1] 刘家恩 吴有军[1] 孙永胜[1] 

机构地区：[1]解放军第三○九医院普外科,北京100091

出　　处：《腹部外科》2014年第1期19-21,共3页Journal of Abdominal Surgery

摘　　要：目的 分析并总结原发性腹膜后肿瘤的诊断及治疗经验.方法 回顾性分析1996年1月至2013年5月收治的147例原发性腹膜后肿瘤患者的临床资料及随访结果.结果 147例中,良性肿瘤49例,完整切除40例,部分切除9例;复发5例,均再次手术.恶性肿瘤98例,完整切除32例,部分切除60例,仅行手术活检6例;复发20例,再次手术13例.随访时间0.5～17年,良性肿瘤死于其他疾病8例,死于原发性腹膜后肿瘤1例;恶性肿瘤死亡73例,其中1年内死亡26例,3年内死亡40例,5年内死亡7例.结论 B超、CT及MRI检查是目前诊断原发性腹膜后肿瘤方便、有效的诊断手段,手术治疗是原发性腹膜后肿瘤的首选治疗方式,完整切除肿瘤是影响原发性腹膜后肿瘤治疗效果及其预后的重要因素.对于复发病例应选择再次手术治疗.Objective To summarize our experiences in the diagnosis and treatment of primary retroperitoneat tumors （PRTs）. Methods The clinical data of 147 PRT patients from January 1996 to May 2013 were retrospectively analyzed. And their profiles of diagnosis, treatment and follow-ups were summarized. Results There were benign （n = 49） and malignant （n = 98） tumor cases. Forty cases of benign PRT and 32 cases of malignant PRT underwent complete resection. And 9 cases of be- nign PRT and 60 cases of malignant PRT had partial resection. All 5 cases of recurrent benign PRT underwent secondary resection, as well as 13 cases of 20 cases with from recurrent malignant PRT. The follow-up period was 0. 5 to 17 years. One patient of benign PRT died from PRT and another 8 from other diseases. And 26, 40 and 7 patients of malignant PRT died within 1, 3 and 5 years respec- tively. Conclusions Ultrasound examination and imaging studies can conveniently and effectively iden- tify PRT. Surgery remains a first choice for PRT. Complete resection is a key factor in curing PRT. Recurrent PRT patients should be re-operated.

关 键 词：腹膜后肿瘤 诊断 治疗 回顾性研究 

分 类 号：R735.4[医药卫生—肿瘤]