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原发性腹膜后肿瘤的诊断与外科治疗
引用本文:覃谦,施开德,庄晓泉,李洪,王力斌,李君久,陈顺文.原发性腹膜后肿瘤的诊断与外科治疗[J].中华普通外科杂志,2005,20(1):33-35.
作者姓名:覃谦  施开德  庄晓泉  李洪  王力斌  李君久  陈顺文
作者单位:1. 523100,广东省东莞东华医院普外科
2. 巢湖市第一人民医院普外科
3. 桂林市人民医院普外科
摘    要:目的探讨原发性腹膜后肿瘤(PRT)的诊断方法和手术经验。方法回顾性分析1985年5月至2002年7月经手术治疗116例PRT患者的诊断方法和手术治疗效果。结果肿瘤完整切除95例(良性48例,恶性肿瘤47例);姑息性切除术15例;肿瘤探查和活检6例。47例恶性肿瘤完全切除1、3年和5年的生存率分别为100.0%、80.9%和23.4%;姑息性切除1、2、3年的生存率分别为33.3%、20.0%和6.7%。结论CT和MR对判断肿瘤周围器官是否受累和切除范围有重要意义,充分的术前准备和受累器官的联合切除可以提高PRT切除率和治愈率。

关 键 词:原发性腹膜后肿瘤  诊断  治疗  外科手术
修稿时间:2003年12月20

The diagnosis and surgical treatment of primary retroperitoneal tumor
QIN Qian,SHI Kai-de,ZHUANG Xiao-quan,LI Hong,WANG Li-bin,LI Jun-jiu,CHEN Shun-wen.The diagnosis and surgical treatment of primary retroperitoneal tumor[J].Chinese Journal of General Surgery,2005,20(1):33-35.
Authors:QIN Qian  SHI Kai-de  ZHUANG Xiao-quan  LI Hong  WANG Li-bin  LI Jun-jiu  CHEN Shun-wen
Institution:QIN Qian*,SHI Kai-de,ZHUANG Xiao-quan,LI Hong,WANG Li-bin,LI Jun-jiu,CHEN Shun-wen. * Department of Surgery. Dong Hua Hospital,Dongguan 523100,China
Abstract:Objective To investigate diagnosis and surgical treatment of primary retroperitoneal tumor. Methods We retrospectively analyze clinical data of 116 cases with primary retroperitoneal tumor undergoing resection from 1985 to 2002. Results In this study, 95 cases underwent total resection (48 cases with benign tumor and 47 cases with malignant tumor), 15 cases underwent palliative resection. 6 cases underwent tumor biopsy only. The 1,3,5 year survival rate for the 47 malignancies was 100%, 80.9%, 23.4%. The 1, 2, 3 year survival rate for the 15 cases with palliative resection was 33.3%, 20.0%, 6.7%. Conclusion B-ultrasonography, CT and MR are very important for preoperative evaluation. Combined resection for the involved organ could increase resection rate and improve cure rate.
Keywords:Retroperitoneal neoplasms  Diagnosis  Surgical procedures  operative
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