原发性盆腔腹膜后肿瘤的手术治疗  

Operative treatment of primary pelvic retroperitoneal tumor (PPRT)

作　　者：田兆仑[1] 何东生[2] 王明才[2] 申耀宗[2] 于世良[3] 

机构地区：[1]暨南大学医学院第六附属医院普外科,广东江门529000 [2]徐州医学院附属医院普外科,江苏徐州221002 [3]徐州医学院第二附属医院普外科,江苏徐州221006

出　　处：《徐州医学院学报》2004年第2期141-143,共3页Acta Academiae Medicinae Xuzhou

摘　　要：目的　提高原发性盆腔腹膜后肿瘤 (PPRT)的手术效果。方法　分析 1981～ 1999年经手术治疗及病理证实的 5 8例PPRT的治疗情况。经腹径路 2 4例 ,经骶部径路 2 5例 ,经腹、骶部或耻部、腹股沟部等联合径路手术9例。结果　完整切除 4 8例 ,次全切除 3例 ,未切除探查活检 7例 ,完整切除率 82 .76 % ,联合器官切除 3例。手术后死亡 1例。复发再手术 10例 ,其中完整切除 8例 ,探查活检 2例。恶性肿瘤 2、5、10年生存率分别为 5 0 %、2 1.4 3%、14 .2 9%。结论　合理选择手术径路、手术方法是肿瘤完整切除的关键。Objective To improve the efficacy of operative treatment of PPRT. Methods 58 cases of PPRT confirmed by operation and pathology form 1981 to 1999 were reviewed. Abdominal approach was taken in 24 cases, sacral approach in 25 cases, combined abdominal/sacral/pubic/groin approaches in 9 cases. Results Complete resection of tumor was performed in 48 cases, subtotal resection in 3 cases, exploration and biopsy was performed in 7 cases. The rate of complete excision was 82.76%; the tumor with its implicated adjacent organs was completely removed in 3 cases. One patient died after surgery. Ten recurrent tumors were re-operated on, with 8 completely excised and 2 explored. The survival rate of the patients with malignant tumor was 50%, 21.43% and 14.29% for 2, 5 and 10 years, respectively. Conclusion Rational surgical approach and adequate procedures are the key to successful total removal of PPRT. Early re-operation can prolong the survival of recurrent patients.

关 键 词：原发性盆腔腹膜后肿瘤 手术治疗 PPRT 外科手术 手术径路 

分 类 号：R737.3[医药卫生—肿瘤]