37例原发性腹膜后肿瘤的诊断和治疗研究  

Research on the diagnosis and treatment of 37 cases of primary retroperitoneal tumor

作　　者：付瑞标[1] 李忠鹏[1] 周瑞 周小虎 Fu Ruibiao;Li Zhongpeng;Zhou Rui;Zhou Xiaohu(Xuzhou First People’s Hospital,Xuzhou 221000,China)

机构地区：[1]徐州市第一人民医院,江苏徐州221000

出　　处：《江苏科技信息》2021年第18期63-66,共4页Jiangsu Science and Technology Information

摘　　要：目的:探讨原发性腹膜后肿瘤诊断、治疗策略及预后。方法:回顾性分析自2012年1月至2020年2月在徐州市第一人民医院诊治的37例原发性腹膜后肿瘤的临床资料。结果:术后病理证实良性11例,恶性26例。良、恶性肿瘤完整切除率为分别为81.8%(9/11)、69.2%(18/26),其中,联合脏器切除占总完整切除患者的48.1%(13/27)。病理类型和肿瘤切除程度与术后复发密切相关。腹膜后恶性肿瘤完整切除术后局部复发率显著高于良性肿瘤(61.5%∶11.1%,P<0.05)。所有手术无因手术并发症死亡病人。结论:腹膜后肿瘤早期发现、早期诊断、完整切除肿瘤、术后规律复查是影响预后的关键因素。Objective:To explore and discuss the diagnosis,treatment strategy and prognosis of primary retroperitoneal tumor.Methods:The clinical data of 37 patients with primary retroperitoneal tumor from January 2012 to February 2020 in Xuzhou First People’s Hospital were analyzed retrospectively.Results:11 cases were benign and 26 cases were malignant by pathology.The complete resection rates of benign and malignant tumors were 81.8%(9/11)and69.2%(18/26),respectively.Combined organ resection accounted for 48.1%(13/27)of the total complete resection patients.The type of pathology and the degree of tumor resection were closely related to postoperative recurrence.The local recurrence rate after complete resection of retroperitoneal malignant tumor was significantly higher than that of benign tumor(61.5%∶11.1%,P<0.05).All operations were performed without death due to surgical complications.Conclusion:Early detection of retroperitoneal tumor,early diagnosis,complete resection of tumor and regular follow-up after operation are the key factors affecting prognosis.

关 键 词：原发性腹膜后肿瘤 外科手术 复发 

分 类 号：R605[医药卫生—外科学]