CAJ | 학술논문

目的探讨骶前肿瘤的诊断与治疗方法.方法回顾性分析我院普外科1999年1月至2009年1月收治的31例原发性骶前肿瘤患者的临床资料.31例患者均行手术治疗.10例经骶尾部或会阴切除肿瘤；18例经腹肿块切除；3例经、腹会阴联合切除.结果骶前肿瘤患者常在出现压迫症状时就诊,直肠指诊结合B超、CT、MRI等是有效的检查方法.本组中28例完整切除,3例部分切除.其中2例慢性感染或窦道形成的患者分次手术成功.结论骶前肿瘤确诊后如无手术禁忌证,应手术切除.术中注意保护骨盆神经丛,防止骶前出血.应尽量完整切除肿瘤.
목적 탐토저전종류적진단여치료방법.방법 회고성분석아원보외과1999년1월지2009년1월수치적31례원발성저전종류환자적림상자료.31례환자균행수술치료.10례경저미부혹회음절제종류；18례경복종괴절제；3례경、복회음연합절제.결과 저전종류환자상재출현압박증상시취진,직장지진결합B초、CT、MRI등시유효적검사방법.본조중28례완정절제,3례부분절제.기중2례만성감염혹두도형성적환자분차수술성공.결론 저전종류학진후여무수술금기증,응수술절제.술중주의보호골분신경총,방지저전출혈.응진량완정절제종류.
Objective To explore the diagnosis and surgical treatment techniques for the patients with primary presacral tumor.Methods Data from 31 patients with primary presacral tumor admitted into our Department for Surgery from Jan. 1999 to Jar. 2009 were retrospectively analyzed.All patients underwent surgical treatment,among them,10 received per-sacroiliac or per-perineum approaches to remove the tumors,18 received per-abdomen tumorectomy, and 3 received combined per-peritoneum and per-perineum tumorectomy.Results Patients visited the doctor while exhibiting the compression symptoms by the the tumors.Final diagnosis could be reached with the help of rectal touch,B-mode ultrasound,computerized tomography,or magnetic resonance imaging.Complete resection was performed in 28 patients.Partial resection was performed in 3 patients.Fractionated resection was successfully performed in 2 patients with chronic infection or sinus tract.Conclusion The primary presacral tumor should be surgically resected once final diagnosised and without surgical contraindications.Pelvic plexus should be preserved and presacral hemorrhage should be prevented.The tumor should be resected as complete as possible.