论文部分内容阅读
为探讨骶前肿瘤的诊断与治疗,分析了37例骶前肿瘤的诊断和治疗情况。肿瘤直径3~16cm。术前诊断主要依靠直肠指诊、B超、CT等相关检查。手术方法有:经骶尾部切除15例,经腹切除10例,经腹尾部联合入路切除6例。其中合并切除直肠4例,肿瘤完整切除21例,部分切除10例,未切除6例,切除率83.8%。并发症有出血、直肠损伤、术后骶前感染、脓肿形成。作者认为合理选择手术径路、手术方式是切除肿瘤的关键。术前影像学检查对肿瘤定位和术式选择有重要意义
To investigate the diagnosis and treatment of presacral tumors, the diagnosis and treatment of 37 cases of presacral tumors were analyzed. The tumor diameter 3 ~ 16cm. Preoperative diagnosis mainly depends on digital rectal examination, B-ultrasonography, CT and other related tests. Surgical methods were: 15 cases were treated with axillary tail resection, 10 cases were treated with abdominal resection, and 6 cases were treated with combined abdomen and tail approach. Among them, 4 cases were resectioned with rectum. 21 cases had complete tumor resection, 10 cases had partial resection, and 6 cases had no resection. The resection rate was 83.8%. Complications include bleeding, rectal injury, postoperative fistula infection, and abscess formation. The author believes that a reasonable choice of surgical approach, surgical approach is the key to the removal of the tumor. Preoperative imaging examination is important for tumor localization and surgical selection