手术治疗原发性腹膜后恶性肿瘤82例临床分析  

Clinical analysis of surgical treatment of 82 patients with malignant primary retroperitoneal tumor

作　　者：侯建芳 

机构地区：[1]河南省洛阳市第二中医院外科,471003

出　　处：《中国实用医刊》2016年第14期64-66,共3页Chinese Journal of Practical Medicine

摘　　要：目的：探讨手术治疗原发性腹膜后恶性肿瘤的治疗效果和价值。方法回顾性分析82例原发性腹膜后恶性肿瘤患者的临床表现、影像学检查特点和手术治疗。结果初诊患者表现多为腹部肿块，辅助检查 CT 诊断率为95.1％。肿瘤完全切除率为49.2％，完全手术切除患者复发26例，再手术21例，15例完整切除肿瘤。结论发现腹部无症状性肿块首先要考虑腹膜后肿瘤，CT 是最重要的辅助检查，手术切除腹膜后恶性肿瘤是治疗本病的重要手段，对复发性腹膜后恶性肿瘤应争取再手术治疗。Objective To investigate the value and effect of the surgical treatment for malignant primary retroperitoneal tumor（ MPRT）. Methods Eighty-two patients with MPRT were admitted and treated. Clinical manifestations, imaging findings and surgical managements were analyzed. Results Abdominal mass was the main symptom and sign. The diagnostic rate by CT was 95. 1% . The whole resection rate was 49. 2% ,26 patients with whole resection had recurrence,reoperation in 21 ca-ses and 15 patients had complete resection of tumor. Conclusions Abdominal mass in patients without other symptom should be considered MPRT. CT scan is the most important method for diagnosis of MPRT. The total resection and en bloc resections are the best way of treatment. The recurrence tumor should be diagnosed early and be treated with reoperation.

关 键 词：腹膜后肿瘤 恶性肿瘤 腹部肿物 手术治疗 

分 类 号：R735.4[医药卫生—肿瘤]