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目的 总结和探讨原发性腹膜后肿瘤的诊断和治疗经验。方法 回顾性分析 86例原发性腹膜后肿瘤的诊断方法和手术方式的临床资料。结果 86例中恶性肿瘤 6 2例 ,肿瘤完整切除率 5 9% ,合并脏器切除率 5 8.1% ;良性肿瘤 2 4例 ,肿瘤完整切除率 79.2 % ,合并脏器切除率 8.3%。重复手术 2 4.7%。结论 B型超声和CT是早期诊断原发性腹膜后肿瘤较好的影像学检查方法 ,外科手术治疗及肿瘤完整切除是治疗和预后的关键 ,复发性肿瘤应积极再次手术。
Objective To summarize and discuss the diagnosis and treatment experience of primary retroperitoneal tumors. Methods The clinical data of 86 primary retroperitoneal tumors were retrospectively analyzed. Results 86 cases of malignant tumors in 62 cases, complete tumor resection rate of 59%, combined organ resection rate of 58.1%; benign tumors in 24 cases, complete tumor resection rate of 79.2%, combined organ resection rate of 8.3%. Repeated surgery 2 4.7%. Conclusion B-ultrasonography and CT are good imaging methods for early diagnosis of primary retroperitoneal tumors. Surgical treatment and complete resection of tumors are the key to treatment and prognosis. Recurrent tumors should be actively re-operation.