| 摘要: |
| 目的:探讨原发性腹膜后肿瘤(primary retroperitoneal tumor,PRPT)的诊治经验。方法:回顾性分析2000年1月至2008年6月315例PRPT患者的临床资料和随访结果,总结临床诊治经验。结果:315例原发性腹膜后肿瘤良、恶性之比0.55∶1。手术治疗294例,完整切除161例,联合切除69例,部分姑息切除64例；21例未行手术。恶性肿瘤完整切除患者预后优于部分切除(P<0.05)。结论: 影像学检查可有效诊断PRPT；手术完整切除肿瘤是PRPT治疗的关键,再次手术是复发性PRPT的有效治疗手段。 |
| 关键词: 腹膜后肿瘤 外科手术 复发 预后 |
| DOI：10.3724/SP.J.1008.2009.0545 |
| 投稿时间：2009-03-16修订日期：2009-05-07 |
| 基金项目: |
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| Diagnosis and treatment of primary retroperitoneal tumor |
| XIA Shao-you1,LI Rong1*,LIU Su-jian1,2 |
| (1.Department of General Surgery,General Hospital of PLA,Beijing 100853,China;2.Department of General Surgery,Beijing Aerospace General Hospital,Beijing 100076) |
| Abstract: |
| Objective:To summarize our experience on the diagnosis and surgical treatment of primary retroperitoneal tumor(PRPT).Methods: The clinical data of 315 patients with primary retroperitoneal tumor (from Jan. 2000 to Jun. 2008) were retrospectively analyzed,and the clinical experience on diagnosis and treatment was summarized.Results: The ratio of benign to malignant tumors in our group was 0.55∶1.Totally 294 patients received operation,including 161 cases of radical resection,69 cases of combined resection,and 64 partial palliative resection. Twenty-one patients received no operation. The prognoses of patients who received radical resection for malignant tumors were significantly improved compared with those of patients who received partial palliative resection (P<0.05).Conclusion: Imaging diagnosis can effectively identify PRPT. Complete resection is the key for treatment of PRPT,and reoperation is an effective treatment for recurrent PRPT. |
| Key words: retroperitoneal neoplasms surgery recurrence prognosis |
