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目的探讨原发性腹膜后肿瘤的诊断和治疗。方法回顾分析收治的48例腹膜后肿瘤的临床资料。结果良性肿瘤25例,完整切除23例,大部分切除2例,其中联合脏器切除5例;恶性肿瘤23例,完整切除5例,大部分切除16例,活检2例。随访时间0.5～7年,良性肿瘤除在术后1～4年死于并存病7例;恶性肿瘤患者死亡19例:1年内死亡4例,2年内死亡11例,3年内死亡3例,5年内死亡1例。结论充分的术前准备是保障手术顺利完成的前提,尽可能完整切除肿瘤及其受累器官和组织,可降低复发率,提高生存率;对于术后复发的肿瘤也应积极手术,以减轻患者痛苦,延长生命。
Objective To investigate the diagnosis and treatment of primary retroperitoneal tumors. Methods Retrospective analysis of 48 cases of retroperitoneal tumor clinical data. Results Twenty - five benign tumors were completely resected in 23 cases, most of them were resected in 2 cases, including 5 cases of combined organ resection. 23 cases of malignant tumors were completely resected in 5 cases, most of them were resected in 16 cases and biopsy was performed in 2 cases. During the follow-up period of 0.5 to 7 years, 7 cases of benign tumor died of coexisting disease 1 to 4 years after operation; 19 cases of malignant tumor died: 4 cases died within 1 year, 11 cases died within 2 years, 3 died within 3 years, 5 cases 1 case of death during the year. Conclusion Adequate preoperative preparation is the precondition of ensuring the successful completion of the operation. The complete removal of the tumor and its affected organs and tissues as much as possible can reduce the recurrence rate and improve the survival rate. Surgical resection of the tumor should also be actively performed to reduce the suffering of patients , Prolong life.