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目的:总结原发性腹膜后肿瘤的诊断及手术治疗经验。方法:回顾分析我院43例原发性腹膜后肿瘤的临床资料。结果:首发症状及体征为腹痛、腹胀及腹部肿块。影像学检查对诊断和术前评估起重要作用。良性肿瘤16例,完整切除13例,复发再手术4例;恶性肿瘤27例,完整切除18例,复发再手术10例,合并脏器切除率高。结论:影像学检查对诊断和手术切除范围有重要意义。肿瘤完整切除是治疗的关键,对复发性腹膜后肿瘤应争取再次手术。
Objective: To summarize the diagnosis and surgical treatment of primary retroperitoneal tumor. Methods: The clinical data of 43 patients with primary retroperitoneal tumors in our hospital were retrospectively analyzed. Results: The first signs and symptoms of abdominal pain, abdominal distension and abdominal mass. Imaging examination plays an important role in diagnosis and preoperative evaluation. 16 cases of benign tumors, 13 cases of complete resection, 4 cases of recurrence and reoperation; 27 cases of malignant tumors, complete resection in 18 cases, recurrence and reoperation in 10 cases, combined organ resection rate. Conclusion: Imaging examination is of great importance to the diagnosis and surgical resection scope. Tumor resection is the key to complete resection of recurrent retroperitoneal tumors should seek reoperation.