腹膜后囊性病变65例临床特征及病理分析  

Clinical features and histopathological analysis of retroperitoneal cystic lesions in 65 cases

作　　者：马小睦 肖剑春[2] 谢勇[2] 曲强[2] Ma Xiaomu;Xiao Jianchun;Xie Yong;Qu Qiang(Plastic Surgery Hospital,Peking Union Medical College&Chinese Academy of Medical Sciences,Beijing 100043,China;Department of General Surgery,Peking Union Medical College Hospital,Peking Union Medical College&Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院整形外科医院,北京100043 [2]中国医学科学院北京协和医院基本外科,北京100730

出　　处：《中华普通外科学文献（电子版）》2021年第3期203-206,共4页Chinese Archives of General Surgery(Electronic Edition)

基　　金：中国医学基金会资助项目(ZYJ201912)。

摘　　要：目的探究腹膜后囊性病变(RCL)的临床特征及病理类型。方法回顾性分析北京协和医院外科2010年1月至2020年10月所有诊断为RCL的65例患者,总结患者的临床病理特征、囊肿影像学表现、治疗方式及近期临床结局。结果女性多于男性,其中17例(26.2%)有症状,36例(55.4%)同时合并其他器官囊肿。囊肿最大截面直径(7.49±2.83)cm。影像学表现多样,无特异性。病理类型按发病率由高到低为纤维囊壁组织、淋巴管囊肿、成熟性囊性畸胎瘤、支气管源性囊肿、囊性间皮瘤、皮样囊肿。60例行手术治疗,术后均无复发,4例(6.7%)出现并发症。结论RCL病理类型多样,多为先天胚胎发育异常疾病,部分存在恶变可能,应早期诊断、尽早手术切除,总体预后较好。发现脏器囊肿后应进一步行CT检查利于RCL的早期诊断。Objective To explore the clinical features and histopathological types of retroperitoneal cystic lesions(RCL).Methods A retrospective study of 65 cases diagnosed as RCL in Peking Union Medical College Hospital from January 2010 to October 2020 was conducted.The clinical pathological features,imaging,therapeutic data and short-term outcomes were analyzed.Results The number of women was more than that of men.Among them,17 cases(26.2%)had symptoms and 36 cases(55.4%)were simultaneously diagnosed with cysts in other organs.The maximum diameter of the cysts was(7.49±2.83)cm.The imaging findings of RCL were diverse and nonspecific.According to the incidence rate of histopathological types from high to low,pathological types were fibrous cystic lesion,lymphangiocyst,mature cystic teratoma,bronchogenic cyst,cystic mesothelioma and dermoid cyst.Sixty cases underwent surgical operation,and no recurrence occurred.Four cases(6.7%)had complications.Conclusions The histopathological types of RCL are various.Most of them are related to congenital embryonic dysplasia,and some of them have the possibility of malignant transformation,therefore early detection and timely surgical resection are necessary.The CT examination should be further carried out after discovery of organ cysts to facilitate the early diagnosis of RCL.

关 键 词：腹膜后囊性病变 临床特点 病理分型 影像学表现 

分 类 号：R735.4[医药卫生—肿瘤]