中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2010年
12期
1314-1316
,共3页
腹膜后肿瘤%诊断%外科手术
腹膜後腫瘤%診斷%外科手術
복막후종류%진단%외과수술
Retroperitoneal neoplasms%Diagnosis%Surgical procedures operative
目的 探讨原发性腹膜后肿瘤的诊断和治疗. 方法 回顾性分析1993-2008年手术治疗的原发性腹膜后肿瘤患者55例的临床资料. 结果 本组患者的临床表现依次为:腹盆腔肿块32例(58.2%);腰背部酸痛不适14例(25.5%);腹痛11例(20%);腹胀3例(5.5%).术前B超和CT检查的诊断率分别为95.5%和100.0%.恶性腹膜后肿瘤切除率为74.2%(23/31).4例因肿瘤复发再次手术,再次手术切除率为3/4.良性肿瘤切除率为95.8%(23/24). 结论 CT是最有效的检查方法.手术完整切除肿瘤是提高预后的关键,对复发性肿瘤应争取再次手术切除.
目的 探討原髮性腹膜後腫瘤的診斷和治療. 方法 迴顧性分析1993-2008年手術治療的原髮性腹膜後腫瘤患者55例的臨床資料. 結果 本組患者的臨床錶現依次為:腹盆腔腫塊32例(58.2%);腰揹部痠痛不適14例(25.5%);腹痛11例(20%);腹脹3例(5.5%).術前B超和CT檢查的診斷率分彆為95.5%和100.0%.噁性腹膜後腫瘤切除率為74.2%(23/31).4例因腫瘤複髮再次手術,再次手術切除率為3/4.良性腫瘤切除率為95.8%(23/24). 結論 CT是最有效的檢查方法.手術完整切除腫瘤是提高預後的關鍵,對複髮性腫瘤應爭取再次手術切除.
목적 탐토원발성복막후종류적진단화치료. 방법 회고성분석1993-2008년수술치료적원발성복막후종류환자55례적림상자료. 결과 본조환자적림상표현의차위:복분강종괴32례(58.2%);요배부산통불괄14례(25.5%);복통11례(20%);복창3례(5.5%).술전B초화CT검사적진단솔분별위95.5%화100.0%.악성복막후종류절제솔위74.2%(23/31).4례인종류복발재차수술,재차수술절제솔위3/4.량성종류절제솔위95.8%(23/24). 결론 CT시최유효적검사방법.수술완정절제종류시제고예후적관건,대복발성종류응쟁취재차수술절제.
Objective To sum up the experience in the diagnosis and treatment of primary retroperitoneal tumor (PRT).Methods The data of 55 PRT patients from 1993 to 2008 were retrospectively reviewed.Results Of 55 PRT patients,58.2% presented with palpable abdominal pelvic mass,25.5% with aching pains or discomfort in the shoulder or back,20% with abdominal pain,5.5% with abdominal fullness.The diagnostic rates of preoperative B-ultrasound,CT was 95.5%,100%,respectively.The complete excision rate of malignant PRTs was 74.2% (23/31),recurrence rate 36.4%,re-resection rate 75%.Benign PRTs had a higher complete excision rate(95.8%).Conclusion CT is the most effective method for PRT diagnosis.Complete excision is the key of improving prognosis.Re-operation should be considered for patient with recurrent tumors.
