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目的 探讨原发性腹膜后肿瘤的外科治疗。方法 回顾性分析 1992年来原发性腹膜后肿瘤手术切除 10 1例 ,总结提高手术治疗效果的策略。结果 其中良性肿瘤 38例 ,恶性肿瘤 6 3例 ,均经术后病理证实。肿瘤完整切除率71.2 9%。良性肿瘤的手术完整切除率高于恶性肿瘤 ,术中失血少 ,需要合并切除的脏器少 ,术后复发率相对低。全部病人无一例术中死亡。术后复发 33例 ,再次手术 19例。结论 手术完整切除是腹膜后肿瘤治疗首选的方法 ,术前准备非常重要 ,对复发的肿瘤应该争取再次手术。
Objective To investigate the surgical treatment of primary retroperitoneal tumors. Methods A retrospective analysis of 1992 cases of primary retroperitoneal tumor resection of 101 cases, summarizes the strategy to improve the effect of surgery. Results of which 38 cases of benign tumors, 63 cases of malignant tumors were confirmed by pathology. Complete tumor resection rate 71.2 9%. The complete resection rate of benign tumors is higher than that of malignant tumors, with less blood loss during operation, fewer organs to be combined and resected, and relatively low postoperative recurrence rate. None of the patients died of any surgery. 33 cases had recurrence after operation and 19 cases had reoperation. Conclusion Complete resection of the peritoneum is the preferred method of treatment of retroperitoneal tumors. Preoperative preparation is very important and should be reoperated for recurrent tumors.