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目的:探讨原发性阔韧带肿瘤的临床特点、病理类型及手术经验。方法:回顾性分析35例原发性阔韧带肿瘤的病历资料,复习相关文献。结果:3 5例术前诊断原发性阔韧带肿瘤6例(1 7.1 4%),术前误诊2 9例(8 2.8 6%),35例均手术治疗。结论:阔韧带肿瘤术前误诊率高,主要依据手术及病理诊断。肿瘤组织来源不同,病理类型较多。有些肿瘤有恶性变倾向,应积极手术治疗,术后需密切随访。术中应注意肿瘤与输尿管、髂血管及坐骨神经的解剖关系,慎防损伤。
Objective: To investigate the clinical features, pathological types and surgical experience of primary broad ligament tumors. Methods: The clinical data of 35 patients with primary broad ligament tumor were analyzed retrospectively. The related literatures were reviewed. Results: Totally 35 cases of primary broad ligament tumor were diagnosed in 6 cases (7.114%) preoperatively, 29 cases (28.6%) were misdiagnosed before operation, and 35 cases were treated surgically. Conclusion: The preoperative misdiagnosis rate of broad ligament tumor is mainly based on the operation and pathological diagnosis. Tumor tissue from different sources, more pathological types. Some malignant tumors tend to be positive, should be actively treated, close follow-up after surgery. Surgery should pay attention to tumor and ureter, iliac vessels and sciatic nerve anatomy, beware of injury.