原发性腹膜后肿瘤的诊断与外科治疗(附121例报告)

本文报告我院自1957年至1979年期间经手术治疗的原发性腹膜后间隙的肿瘤121例)其中良性47例(38.8%),恶性74例(61.2%),恶性肿瘤的切除率为33.8%,术后1、3、5年的生存率,分别为42.4%,39.1%、及38.1%。讨论了原发性腹膜后间隙的肿瘤的诊断方法及外科手术治疗原则和我们的初步体会。分析了原发性腹膜后间隙的肿瘤复发的原因以及再次手术的效果和经验,并提出我们的初步建议

Diagnosis and Surgical Management of Primary Retroperitoneal Tumors

This paper presents 121 cases with primary retroperineal tumors dentified by pathological examination and operated on from 1957 through 1979. Among them, 47 (38.8%) were benign and 74 (61.2%) , malignant. Theresectability rate of malignant tumoss was 33.8%. while their rates of 1, 3 and 5 years were 41.7%, 39.1% and 38.1%, respecftivelyThere may be some difficulties early diagnosis of this disease. However, it is possible to tell, whether they are benigh or malignant by means of plain film of abdomen, bariummeal fluoroscopy of gastroenteric system, urography, retroperitoneal peumography and lymphgraphy, and at the same time judged by the age of patients and the growth rate of tumors.of course, most accurate diagnosis has to depend upon exploratory biopsy. Early redical resection is a major measure of treatment. As for those benign tumors adhesive to its surrounding organs extraction can be employed. In recurrent cases, if there are no contraindications, secondary operation should be performed.