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探讨累及髂动静脉的盆腔腹膜后肿瘤手术切除时，髂血的处理方法，以提高切除率。方法总结１９９４年７月至１９９９年６手术切除累及髂动静脉的盆腔腹膜后肿瘤１４例，合并髂动静脉切除及重建的经验。其中合并右侧髂动静脉发除与重建６例。合并左侧血管切除与重建８例。结果随访３个月至５年，平均随访３．２年。３例肿瘤复发再切除，无一例死亡。

Operation of pelvic retroperitoneal tumor with resection and reconstruction of iliac vessels

Objective To study the surgical manipulation of iliac blood vessels invaded by pelvic tumors in order to raise the resection rate.Methods Review the 14 cases of resection for pelvic retroperitoneal tumors along with the reconstruction of iliac blood vessels in our hospital from July 1994 to June 1999,in which 6 operations were performed on the right iliac arteries and veins while 8 cases on the left.Results After follow-up of 3 months to 5 years(average 3 2 years),there were 3 patients of recurrence needing secondary operation and there was no mortality.Conclusion Combined resection of pelvic retroperitoneal neoplasm and reconstruction of iliac blood vessels is safe,effective and practical,and it can raise the excision rate and decrease the recurrence rate.