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目的 探讨腹膜后非嗜铬副神经节瘤 (副节瘤 )的诊断与治疗方法。方法 1992年 2月～ 1998年 8月收治 6例腹膜后非嗜铬副神经节瘤 ,其中 ,男 4例 ,女 2例。年龄 5～ 14岁 ,平均9.5岁。均采用手术切除治疗 ,3例取患侧 11肋间切口 ,2例 12肋缘下切口 ,1例经上腹切口。术中见肿瘤与腹主动脉、下腔静脉等粘连紧密 ,分离切除相当困难。 1例下腔静脉撕裂行吻合术。病理诊断 :良性副节瘤 5例 ,恶性副节瘤 1例。结果 所有病例均完整切除 ,肿瘤最大直径 6～ 7cm。 4例随访 1～ 4年 ,1例死于肿瘤转移。结论 手术治疗是唯一有效的治疗方法 ,但手术切除的危险性高 ,应做好充分的准备 :①备足血源 ;②做好紧急处理高血压、心跳骤停的准备 ;③做好吻合血管的准备等。
Objective To investigate the diagnosis and treatment of retroperitoneal non-chromic paraganglioma (paraganglioma). Methods From February 1992 to August 1998, 6 cases of retroperitoneal non-chromic paraganglioma were treated, including 4 males and 2 females. Age 5 to 14 years old, average 9.5 years old. All patients underwent surgical resection. Three patients underwent 11 intercostal incisions on the affected side, two underwent 12 incisions and one underwent abdominal incision. Surgery, see the tumor and abdominal aorta, inferior vena cava and other adhesions close, separation and removal is quite difficult. 1 case of inferior vena cava anastomosis. Pathological diagnosis: benign paraneoplastic tumor in 5 cases, 1 case of malignant colorectal tumor. Results All cases were completely resected, the largest tumor diameter 6 ~ 7cm. Four cases were followed up for 1 to 4 years and one died of tumor metastasis. Conclusion Surgical treatment is the only effective treatment, but the high risk of surgical resection should be fully prepared: ① adequate blood supply; ② ready for emergency treatment of hypertension, cardiac arrest; ③ do a good anastomosis of blood vessels Preparation and so on.