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目的：探讨累及髂动、静脉的盆腔腹膜后肿瘤手术切除时骼血管的处理方法，以提高切除率。方法：总结１９９４年７月～１９９９年６月手术切除累及髂动静脉的盆腔腹膜后肿瘤１５例，合并髂动、静脉切除与重建的经验。其中合并右侧髂动、静脉切除与重建６例，合并左髂血管切除与重建９例。结果：随访３～５年，平均随访３２年，除１例髂静脉移植物于术后７个月血栓栓塞，其余移植物均通畅。３例肿瘤复发再切除，无１例死亡。结论：累及髂动、静脉的盆腔腹膜后肿瘤手术合并髂血管切除与重建安全、有效、可行，大大提高肿瘤切除率，降低复发率。
Objective: To investigate the treatment of iliac arteries and veins pelvic retroperitoneal tumors during surgical resection of the iliac vessels to improve the resection rate. Methods: From July 1994 to June 1999, 15 cases of pelvic retroperitoneal tumor involving the iliac artery and vein were surgically resected. The experience of iliac artery and vein resection and reconstruction was summarized. Including the right iliac artery, vein resection and reconstruction in 6 cases, combined with left iliac artery resection and reconstruction in 9 cases. Results: All cases were followed up for 3 to 5 years. The patients were followed up for an average of 32 years. Except one case of iliac vein graft thromboembolism at 7 months after operation, the rest of the grafts were unobstructed. Three cases of tumor recurrence resection, no one died. CONCLUSION: It is safe, effective and feasible to treat iliac artery and vein pelvic retroperitoneal tumor combined with iliac vascular resection and reconstruction, which can greatly improve the tumor resection rate and reduce the recurrence rate.