原发性腹膜后肿瘤外科治疗分析
腹膜后肿瘤;诊断;治疗,,腹膜后肿瘤;诊断;治疗,【摘要】,【关键词】,1临床资料,2讨论,【参考文献】
【摘要】 目的 探讨腹膜后肿瘤的诊断与治疗方法。方法 回顾总结50例原发性腹膜后肿瘤诊断治疗情况。结果 本组50例原发性腹膜后肿瘤，CT诊断腹膜后肿瘤准确率达85%以上，B超诊断准确率为50%左右。手术是治疗腹膜后肿瘤最有效的办法，本组良性肿瘤切除率为87%，恶性肿瘤切除率为51%。结论 腹膜后肿瘤CT检查具有重要价值，应作为首选。对已确诊或未确诊均应尽早手术，对不能切除的肿瘤，应力争做部分切除。对复发的病人，应积极争取再次手术。根据病理类型，采用相应的放疗或化疗，以延长病人的生存时间，降低复发率。【关键词】 腹膜后肿瘤;诊断;治疗
Diagnosis and treatment analysis of 50 cases of primary retroperitoneal tumor
QIN Liang,ZHAO Shimei,XIANG Jiaqing.Department of Surgery,Central Hospital of Yanglinqiao Town,Zigui 443625,China
【Abstract】 Objective To evaluate the diagnosis and treatment of PRT.Methods It is reviewed summarized the conditions of 50 PRT cases under diagnosis and treatment.Results In this group of 50 PRT cases,the accuracy rate of CT diagnosis PRT is above 88%,and that of BUS is about 50%.Operation is the most effective way to treat PRT.In this group,the resect rate of benign tumor is 86% and that of malignant tumor is 36% and the total resect rate is 51%.Conclusion The CT diagnosis for PRT is of great value and be first on the list of examination means for PRT.And either certainly diagnosed or uncertainly diagnosed cases should be operated as soon as possible.In the tumor which cannot be cut off to be excised partly and for the cases of recurrence to be operated for a second time.After operation adoption the correspondence with radiate cures or chemical cures according to the pathological type so as to extend the patients life and to reduce the recurrence rate. ......
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