CAJ | 학술논문

目的：探讨总结原发性腹膜后肿瘤的诊断和治疗。方法对1997年1月～2009年10月收治的35例原发性腹膜后肿瘤的临床资料进行回顾性分析。结果原发性腹膜后肿瘤的临床表现以腹部肿物及腹部隐痛为主，检查手段主要为B超、CT、MRI。35例病例中，2例未手术，其余33例手术治疗。恶性肿瘤22例（66.7%）、良性肿瘤11例（33.3%），完整切除27例（其中联合脏器切除1例），部分姑息切除5例，手术探查活检1例。结论影像学检查可有效诊断原发性腹膜后肿瘤；外科手术治疗及肿瘤完整切除是治疗和预后的关键；术后提高随访率，及早发现复发病灶，复发者再次手术仍可获得临床疗效。
목적：탐토총결원발성복막후종류적진단화치료。방법대1997년1월～2009년10월수치적35례원발성복막후종류적림상자료진행회고성분석。결과원발성복막후종류적림상표현이복부종물급복부은통위주，검사수단주요위B초、CT、MRI。35례병례중，2례미수술，기여33례수술치료。악성종류22례（66.7%）、량성종류11례（33.3%），완정절제27례（기중연합장기절제1례），부분고식절제5례，수술탐사활검1례。결론영상학검사가유효진단원발성복막후종류；외과수술치료급종류완정절제시치료화예후적관건；술후제고수방솔，급조발현복발병조，복발자재차수술잉가획득림상료효。
Objective To investigate the diagnosis and treatment of primary retroperitoneal tumor(PRPT).Methods The clinical data of 35 patients with PRPT(from Jan 1997 to Oct 2009)were reviewed and analyzed retrospectively.Results Abdominal mass and pain in abdomen were the most common clinical features of PRPT. The main ways of examination include B-ultrasonography、CT、MRI. Among the 35patients, 2 patients received no operation, and the other 33 patients did. There were 22 patients with malignant tumor(66.7%), 11 patients with benign tumor(33.3%).Totally 33 patients received operation, including 27 patients of redical resection, 1 patients of combined resection; 5 partial palliative resection and 1 patient surgical exploration and biopsy.Conclusion Imaging diagnosis can effectively help to identify PRPT. The surgical operation and complete excision were the key for treatment and prognosis of PRPT. Improve follow-up rate after operation、detect focus early. The recurrence tumor should be actively operation on again.