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目的 提高腹膜后肿瘤的手术效果。方法 回顾分析 1980～ 2 0 0 1年腹膜后肿瘤 2 8例的治疗情况。结果 完整切除 2 1例 ,部分切除或探查活检 7例 ,无手术死亡。 5年生存率分别为 :未切除组 14 3 %、恶性切除组3 7 5 %、良性切除组 69 2 %。结论 提高手术切除率是改善预后的关键 ,术前核磁共振 (MRI)、数字减影 (DSA)检查有助于了解肿瘤内及周围血管的走行 ,用不同方法处理侵及重要血管的腹膜后肿瘤并争取彻底切除 ,是减少术后复发 ,提高生存率的重要方法。
Objective To improve the surgical effect of retroperitoneal tumors. Methods The clinical data of 28 cases of retroperitoneal tumors from 1980 to 2001 were retrospectively analyzed. The results of complete resection 21 cases, partial resection or exploration biopsy in 7 cases, no operative death. The 5-year survival rates were 14 3% in the non-resected group, 37.5% in the malignant resected group, and 69 2% in the benign resected group. Conclusions Increasing the surgical resection rate is the key to improve the prognosis. Preoperative MRI and DSA can help to understand the pathological changes of blood vessels in and around the tumor. Using different methods to treat retroperitoneal tumor invading important blood vessels And strive for complete removal, is to reduce postoperative recurrence and improve the survival rate of an important way.