腹膜后肿瘤

目的　对腹膜后肿瘤的诊断、治疗和并发症的防治进行探讨。方法　对 1984年 1月～2 0 0 0年 6月收治的 32例原发性腹膜后肿瘤的临床资料进行回顾性分析。结果　本组收治的 32例患者均经病理诊断证实为腹膜后肿瘤 ,其中良性肿瘤 17例 ,恶性肿瘤 15例。结论　影像学检查对腹膜后肿瘤的确诊有重要意义 ,治疗上主张尽量作肿瘤全切除和整块切除 ,特别是恶性肿瘤 ;不能彻底切除的应争取作肿瘤包膜内切除。良性肿瘤如手术风险很大 ,不必勉强作肿瘤全切除 ,可行肿瘤部分切除术。对于复发的腹膜后肿瘤 ,争取早期再次手术治疗。

Retroperitoneal tumor

Objective To explore the diagnosis, treatment and prophylaxis of the complication for retroperitoneal tumor. Methods Retrospective study of clinical data for 32 cases of primary retroperitoneal tumor from Jan. 1984 to June 2000 was performed. Results All 32 cases were diagnosed as having retroperitoneal tumor pathologically. Among them, 17 cases were benign and 15 cases malignant. Conclusions Radiological examination is crucial for the diagnosis of the retroperperitoneal tumor. Radical excision and en blocexcision is the recommendation of treatment, especially for malignant tumor.For those unresectable, intra capsular excision of tumor is advocated while radical excision is not feasible. For benign tumor with the risk of surgery, radical surgery was not recommended and partial resection was done. For the recurrent tumor, early revision surgical treatment is recommended.