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目的提高原发性腹膜后肿瘤的手术切除率和生存率。方法回顾分析1989年至2007年原发性腹膜后肿瘤手术治疗的患者70例,良性肿瘤6例,恶性肿瘤64例,完整切除肿瘤40例,姑息切除20例,探查活检8例,手术出血休克2例。结果随诊68例,良性肿瘤6例存活,恶性肿瘤完整切除组的1、3、5年生存率分别为72.7%、53.5%、31.6%,姑息切除和探查活检者预后均差。结论重视原发性腹膜后肿瘤的术前诊断准备,术中处理是提高切除率,改善预后,提高生存率的关键。
Objective To improve the surgical resection rate and survival rate of primary retroperitoneal tumors. Methods A total of 70 patients with primary retroperitoneal neoplasms surgically treated from 1989 to 2007 were retrospectively analyzed. Six patients were classified as benign tumors, 64 as malignant tumors, 40 as complete excision tumors, 20 as palliative resections, 8 as probing biopsy, 2 cases. Results The follow-up of 68 cases, 6 cases of benign tumors survived, 1, 3, 5-year survival rates of the complete resection group were 72.7%, 53.5%, 31.6%, palliative resection and exploration biopsy were poor prognosis. Conclusion The importance of preoperative diagnosis of retroperitoneal tumor preparation, intraoperative management is to improve the resection rate, improve prognosis and improve the survival rate of the key.