【摘要】 目的结合复发性腹膜后恶性肿瘤的特点,探讨手术治疗该类肿瘤的要点。方法收集我院自2000年~2004年收治的18例复发性腹膜后恶性肿瘤病人的临床资料,从术前影像学检查、术前准备、手术方法及随访结果等方面进行回顾性分析。结果术后除因急性肾功能衰竭死亡1例外,其余17例手术均获成功。术后随访时间为6个月~5年,平均生存期为49.7个月,5年生存率为54.3%,复发率为52.9%。结论B型超声和CT是复发性腹膜后恶性肿瘤首选的诊断方法。手术治疗是目前该类肿瘤最主要的治疗手段。更多还原

【Abstract】 Objective To investigate the safety and efficacy of surgical removal of recurrent retro-peritoneal malignancies.Methods The clinical data of 18 patients with recurrent retro-peritoneal malignancies from 2000~2004 were reviewed according to radiographic findings,preoperative preparation,surgical procedures and clinical outcome.Results Except for one patient died from acute renal failure,all the 17 patients got successful resection of tumors and were followed up for 6 months to 5 years,with an average survival time of 49.7 months.The five-year survival and recurrent rates were 54.3% and 52.9%,respectively.Conclusion Ultrasonography and CT scan should be the first choice to identify retro-peritoneal malignancies,and surgical resection still stays the most important treatment proved to be efficacy.更多还原