原发性腹膜后肿瘤的诊断和治疗

目的　总结和探讨原发性腹膜后肿瘤的诊断和治疗经验。方法　回顾性分析 86例原发性腹膜后肿瘤的诊断方法和手术方式的临床资料。结果　 86例中恶性肿瘤 6 2例 ,肿瘤完整切除率 5 9% ,合并脏器切除率 5 8.1% ;良性肿瘤 2 4例 ,肿瘤完整切除率 79.2 % ,合并脏器切除率 8.3%。重复手术 2 4.7%。结论　B型超声和CT是早期诊断原发性腹膜后肿瘤较好的影像学检查方法 ,外科手术治疗及肿瘤完整切除是治疗和预后的关键 ,复发性肿瘤应积极再次手术。

Diagnosis and treatment of primary retroperitoneal tumor

Objective To investigate the diagnosis and treatment experience in primary retroperitoneal tumor(PRT). Methods Clinical data of diagnosis and surgical treatment of 86 cases of PRT were reviewed and analyzed retrospectively. Results Among the 86 cases of PRT, 62 were malignant tumor and 24 benign tumor. In benign tumor, complete excision rate was 79.2% and resection rate of adjacent organs was 8.3% , while in malignant tumor, complete excision rate was 59% and resection rate of adjacent organs was 58.1% . Conclusions B ultrasound and CT examination play an important role in earlier diagnosis of PRT. The surgical operation and complete excision were the key for treatment and prognosis of PRT. The recurrence tumor should be actively operated on again.