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目的 总结原发性腹膜后肿瘤的诊治经验。 方法 回顾性分析我院 1996年 1月～ 2 0 0 2年 12月收治的 82例原发性腹膜后肿瘤的临床表现、影像学特点及手术处理。 结果 辅助检查中CT诊断率为 93.9% ,肿瘤完全切除率为 5 0 % ( 4 1/ 82 )。完全切除的 4 1例中 ,术后复发 2 1例 ,再手术的 2 0例中 ,12例肿瘤完全切除。 结论 腹部无症状肿块是本病主要特征。CT是最重要的诊断方法。手术完全切除是治疗的主要手段 ,对复发性肿瘤应争取再手术治疗
Objective To summarize the experience of diagnosis and treatment of primary retroperitoneal tumors. Methods The clinical manifestations, imaging features, and surgical treatment of 82 primary retroperitoneal tumors admitted to our hospital from January 1996 to December 2002 were retrospectively analyzed. Results The CT diagnosis rate was 93.9% in the auxiliary examination and the complete tumor resection rate was 50% (4 1/82). Of the 41 cases that had been completely resected, 21 cases had recurrence after surgery, and of the 20 cases that had undergone reoperation, 12 cases had been completely resected. Conclusion Abdominal asymptomatic mass is the main feature of the disease. CT is the most important diagnostic method. Complete surgical resection is the main method of treatment. Recurrent tumors should be treated for reoperation.