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目的 总结 37例与泌尿系统密切相关的腹膜后肿瘤的诊断及治疗经验。方法 经手术病理证实的腹膜后肿瘤 37例 ,就其年龄、临床表现及辅助检查进行探讨 ,并对其与泌尿系统相关的问题、术中处理原则及一些经验进行阐述。结果 首发症状及体征多为腹痛和腹块 ,5 4 9%的患者有泌尿系统症状。KUB +IVP、B超及CT的诊断率分别为 2 6 7%、4 2 5 %、74 6 %。手术切除率 6 4 5 % ,其中因与泌尿系统紧密相关需切除同侧肾、输尿管者占有 16 7%。结论 B超及CT是本病诊断的重要手段 ,KUB +IVP对诊断有一定的指导意义 ,治疗以手术切除为主
Objective To summarize the diagnosis and treatment experience of 37 cases of retroperitoneal tumors closely related to the urinary system. Methods Thirty-seven cases of retroperitoneal tumor confirmed by surgery and pathology were studied in terms of their age, clinical manifestations and laboratory examinations. The problems related to the urinary system, the principle of intraoperative management and some experiences were also described. Results The first symptom and symptom were abdominal pain and abdominal mass, and 54.9% patients had urinary symptoms. The diagnostic rates of KUB + IVP, B-ultrasound and CT were 26.7%, 42.5% and 74.6% respectively. Surgical resection rate was 66.5%, of which 16.7% had ureter due to the close correlation with the urinary system. Conclusion B ultrasound and CT is an important means of diagnosis of the disease, KUB + IVP has some guiding significance for the diagnosis, the treatment of surgical excision-based