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目的 提高对原发性盆腔腹膜后肿瘤 (PPRT)的诊治水平。方法 回顾性分析 1980年 1月至 2 0 0 0年6月收治的PPRT3 5例。结果 PPRT的临床表现呈多样性、无特异症状 ,主要以直肠和膀胱受压症状为主。由CT、B超、MRI检查首先发现病变者 85 .7% ( 3 0 /3 5 ) ,肛诊阳性者 5 4 .3 % ( 19/3 5 )。手术的特点是合并脏器切除者多( 4 0 .4 % ) ,副损伤多 ( 17 0 % ) ,术中发生大出血者多 ( 19 1% )。结论 手术切除是PPRT的主要治疗方法 ,大出血是术中最危险的并发症 ,肛诊和B超、CT、MRI是发现病变的主要方法和定位手段。早期发现、详细的术前检查和准备对防止并发症十分重要。
Objective To improve the diagnosis and treatment of primary pelvic retroperitoneal tumor (PPRT). Methods A retrospective analysis of 5 cases of PPRT3 treated from January 1980 to June 2000 was performed. Results The clinical manifestations of PPRT were diversified and showed no specific symptoms. The main symptoms were rectal and bladder compression. By CT, B-ultrasound and MRI examination, 85.7% (3 0 /3 5) of lesions were found first, and 54. 3% (19/3 5) of positive diagnoses were diagnosed. The surgery was characterized by more organs (45.4%), more secondary injuries (17%), and more bleeding (19.1%). Conclusions Surgical resection is the main treatment method of PPRT. Massive bleeding is the most dangerous complication in the operation. Anal diagnosis and B-ultrasonography, CT and MRI are the main methods and positioning methods for finding lesions. Early detection, detailed preoperative examination and preparation are very important to prevent complications.