原发性腹膜后肿瘤的诊治  

Diagnosis and treatment of primary retroperitoneal tumor

作　　者：李锐[1] 游彩霞[1] 涂永久[1] 

机构地区：[1]解放军第174医院普通外科,福建厦门361003

出　　处：《中国处方药》2014年第7期32-33,共2页Journal of China Prescription Drug

摘　　要：目的探讨总结原发性腹膜后肿瘤的诊断和治疗。方法对1997年1月～2009年10月收治的35例原发性腹膜后肿瘤的临床资料进行回顾性分析。结果原发性腹膜后肿瘤的临床表现以腹部肿物及腹部隐痛为主,检查手段主要为B超、CT、MRI。35例病例中,2例未手术,其余33例手术治疗。恶性肿瘤22例(66.7%)、良性肿瘤11例(33.3%),完整切除27例(其中联合脏器切除1例),部分姑息切除5例,手术探查活检1例。结论影像学检查可有效诊断原发性腹膜后肿瘤;外科手术治疗及肿瘤完整切除是治疗和预后的关键;术后提高随访率,及早发现复发病灶,复发者再次手术仍可获得临床疗效。Objective To investigate the diagnosis and treatment of primary retroperitoneal tumor（PRPT）.Methods The clinical data of 35 patients with PRPT（from Jan 1997 to Oct 2009）were reviewed and analyzed retrospectively.Results Abdominal mass and pain in abdomen were the most common clinical features of PRPT. The main ways of examination include B-ultrasonography、CT、MRI. Among the 35patients, 2 patients received no operation, and the other 33 patients did. There were 22 patients with malignant tumor（66.7%）, 11 patients with benign tumor（33.3%）.Totally 33 patients received operation, including 27 patients of redical resection, 1 patients of combined resection; 5 partial palliative resection and 1 patient surgical exploration and biopsy.Conclusion Imaging diagnosis can effectively help to identify PRPT. The surgical operation and complete excision were the key for treatment and prognosis of PRPT. Improve follow-up rate after operation、detect focus early. The recurrence tumor should be actively operation on again.

关 键 词：原发性腹膜后肿瘤 诊断 治疗 

分 类 号：R735.4[医药卫生—肿瘤]