原发性腹膜后肿瘤23例临床分析

目的　探讨原发性腹膜后肿瘤的诊断和治疗。方法　对 1996～ 2 0 0 3年收治 2 3例原发性腹膜后肿瘤进行回顾性分析。结果　腹膜后肿瘤恶性以纤维肉瘤多见 ,良性以纤维瘤多见 ,其中手术治疗 2 1例 ,完整切除 11例 ( 5 4.7% )。恶性肿瘤切除 6例 ,占恶性肿瘤的 5 0 %。结论　原发性腹膜后肿瘤治疗以手术为主 ,对复发性肿瘤应争取再次手术。B型超声和CT是主要的诊断手段。

Cincial analysis of primary retropertoneal tumor-A report of 23 cases.

Objective To explore the diagnosin and management of primary retropeitoneal tumor.Methods The clinical data of 23 cases of primary retroperonneal tumor were reviewed and analyzed from 1996 to 2003.Restults The Fibroma(tosis) of malignant primary retroperitoneal tumor were most popular types.of the 21 cases receiving surgical operation,5 underwent complete resection of tumor(54.7%).Among the 16 cases malingnant tumor.Complete excision 8 cases.Complete excision rate was 50%.Among the 5 cases benige tumor.All complete excison.Conclusions surgical resection was the most effective treament for primary retroperitoneal tumor.Re-operation was the first choice forecturrent prmary retroperitoneal tumor.B-ultrasonic and CT examination was a common way for the diagnosis of primary retroperitoneal tumor.