原发性腹膜后肿瘤的诊断与外科治疗  

Diagnosis and surgical treatment of primary retroperitoneal tumors

作　　者：毛晓雯[1] 王义涛[1] 庄冰洁 潘定宇[1] 刘志苏[1] 

机构地区：[1]武汉大学中南医院肝胆胰腺一科,武汉430071

出　　处：《腹部外科》2014年第1期22-25,共4页Journal of Abdominal Surgery

摘　　要：目的 探讨原发性腹膜后肿瘤的诊断与外科治疗.方法 回顾性分析武汉大学中南医院2008年6月至2013年6月间手术治疗的39例原发性腹膜后肿瘤患者的临床资料.结果 39例中恶性肿瘤23例,良性肿瘤16例.16例良性肿瘤患者均获得完整切除,随访无复发患者.23例恶性肿瘤患者,手术完整切除17例,姑息性手术切除6例,其中,剖腹探查活检3例.肿瘤完全切除组中位生存时间为47个月,其1、3年生存率分别为100%、75.0%;姑息性切除组中位生存时间为15.3个月,其1、2年生存率分别为50.0%、33.3%.结论 影像学检查对原发性腹膜后肿瘤术前诊断和评估手术切除范围有着重要意义.手术切除是腹膜后肿瘤的最有效治疗方法,积极的外科治疗、争取完整切除可以延长患者生存期,降低复发率.Objective To explore the diagnosis and surgical treatment of primary retroperitoneal tumors. Methods A retrospective data analysis was made for 39 surgical cases of primary retroperito- neal tumors at our hospital from June 2008 to June 2013. Results The postoperative pathological ex- amination results showed malignant （n = 23） and benign （n = 16） tumors. Sixteen benign patients un- dergoing complete resection were followed up without relapse. Among 23 cases of malignant tumors, complete （n = 17） or palliative （n = 6） resection was performed. And 3 cases underwent laparotomy biopsy. The median survival time of the patients undergoing total tumor resection was 47 months. The 1, 3-year survival rates were 100% and 75.0% respectively. The median survival time of those with palliative resection was 15.3 months. The 1, 2-year survival rates were 50. 0% and 33. 3% respective- ly. Conclusions Radiological examinations are important for preoperative diagnosis and assessing sur- gical resection locations of PRT. Surgical resection is the most effective treatment since it prolongs the patient survival and reduces the recurrence rate.

关 键 词：腹膜后肿瘤 诊断 外科手术 无病生存 

分 类 号：R735.4[医药卫生—肿瘤]