【摘要】 目的探讨骶前肿瘤的诊断及外科治疗方法。方法回顾性分析2003年~2009年经手术和病理证实的19例骶前肿瘤的临床资料。19例骶前肿瘤患者,术前行直肠指检及影像学检查明确定位诊断,单纯经腹手术2例,单纯经骶手术15例,经腹经骶联合手术2例。结果 19例患者全部为良性肿瘤,切口一期愈合17例,术后并发切口感染2例,经持续负压引流后二期治愈。全组无围术期死亡病例。19例中有16例术后获随访5个月~14个月,2例经骶手术者复发,再行手术切除治愈。结论直肠指检、影像学检查是骶前肿瘤的主要诊断方法,可指导手术方式;经骶途径切除骶前肿瘤安全、可靠。更多还原

【Abstract】 Objective To explore diagnosis and surgical treatment of presacral tumor.Methods The clinical data of 19 patients with presacral tumors confirmed by operation and pathological observation from 2003 to 2009 were retrospectively analyzed.All patients were diagnosed by digital rectal examination and imaging examination before operation.Two patients were operated on via abdominal approach,15 patients via sacrococcygeal approach and 2 patients via combined abdominal and sacrococcygeal approach.Results The tumors of 19 patients were all benign.Seventeen patients had incisions healed at phase 1.There were 2 patients with postoperative incision infections and they were cured with continuous negative pressure drainage after a second surgery.No patients died during perioperative period.Sixteen out of the 19 patients were followed up for 5 to 14 months.Two patients who received sacral surgery relapsed.They were healed after a second surgical resection.Conclusion Digital rectal examination and imaging examination are main methods for diagnosis of presacral tumors.The resection of presacral tumor is safe and reliable via sacrococcygeal approach.更多还原