摘要
目的总结原发性腹膜后良性肿瘤的诊断与治疗经验。方法对本院1994—2001年6月收治的10例原发性腹膜后良性肿瘤的诊断和治疗过程进行回顾分析。结果首发症状主要表现为腹痛、腹胀、食欲减退、恶心(5/10),其次是腹部包块(3/10);肿块多位于上腹部;肿瘤长径6～45cm;病理类型以神经鞘瘤多见(5/10)。10例均行手术探查,8例肿瘤完整切除,1例部分切除,1例仅做活检。获随访9例,均存活无复发。结论原发性腹膜后良性肿瘤早期多无症状;腹部平片、X线钡剂造影、肾盂造影等对诊断有一定价值,但B超、CT、MRI、DSA意义较大。手术切除是目前唯一的有效治疗方法。
Objective To summarize the experiences in the diagnosis and therapy of primary retroperitoneal benign tumors. Methods Ten patients with primary retroperitoneal benign tumors from Jan. 1994 to Jun. 2004 were retrospectively analyzed on the aspects of their diagnosis and therapy. Results The symptoms that first appeared consisted of abdominal pain, abdominal distension, loss of appetite, and nausea (5/10). Other symptoms were abdominal masses (3/10). The diameters of the masses were of 6~45 cm, most of which were located in the upper abdomen and were neurilemmomas pathologically. All the 10 patients were performed abdominal exploration, among whom eight ones were given complete tumor removal, one part removal, and one was only given biopsy. Nine of the patients who were followed up did not relapse.Conclusion Primary retroperitoneal benign tumors usually have no symptoms at early stage. Abdominal plain X-ray film and barium meal and renal pelvis radiography are valuable to some extent, but B type ultrasonic, MRI and DSA are more valuable. Removal by operation is the only effective way to their therapy.
出处
《临床军医杂志》
CAS
2005年第3期328-329,共2页
Clinical Journal of Medical Officers
关键词
原发性腹膜后肿瘤
良性
诊断方法
手术疗法
primary retroperitoneal tumor
benign
diagnostic method
operation
