腹膜后副神经节瘤外科治疗

目的：探讨腹膜后副神经节瘤的诊断治疗。方法：1992年1月至2001年1月经手术治疗腹膜后副神经节瘤34例。结果：全部病例均经手术和病理证实。手术中死亡1例，手术死亡率为2．6％。大部分病例有症状或肿块，11例有功能。术前B超、CT、MRI均能准确发现肿瘤。34例均完整切除肿瘤，其中恶性肿瘤8例(20．6％)，良性26例(79．4％)。结论：强调充分的术前准备，术中及术后严密监测，手术切除肿瘤是根本的治疗方法。

Surgical management of extraadrenal retroperioneal paragangliomas

Objective:To evaluate the diagnostic and treatment for extraadrenal retroperioneal paraganliomas. Methods:34 cases extraadrenal retroperioneal paraganliomas diagnosed and treated between Jan. 1992 and Jan.2001 were rerviewed. Results:The diagnosis of extraadrenal retroperioneal paraganliomas was confirmed on surgery and pathologic studies in all. Mast patients were admitted with pain or a mass,and eleven of 34 tumors were functional. The accuracy rates of localization B- ultrasonography, computerized tomography and magnetic resonance imaging were100%. All tumours were completely resected .Operative mortality rate was 2.6%. In 26 cases(79.4%) ,the extraadrenal retroperioneal paraganliomas was benign and in the other 8 the tumor was malignant(20.6%).Conclusions:Pre-,peri- and post-operative management were of prime importance. Surgical management was the only means for cure in the disease.