摘要
目的：探讨复发性腹膜后肿瘤的综合治疗方法。方法：回顾分析1998年～2004年收治的26例复发性腹膜后肿瘤患者，经手术、放／化疗以及介入治疗的临床资料。结果：肿瘤全切除或扩大切除14例，部分切除或剖腹探查12例，全组无手术死亡，术后5年存活2例（7．7％），3年存活5例（19．2％），1年存活8例（30．8％），其余11例在1年内死亡。其中放／化疗20例，放疗剂量50～60Gy，化疗采用AC方案（阿霉素和环磷酰胺）。选择性动脉灌注5-Fu介入疗3例，I^125粒子组织间放射治疗3例。全切除或扩大切除术后肿瘤再复发9例（64．3％），再次手术4例。结论：以手术为主的综合治疗方法，能延长复发性腹膜后肿瘤患者的生存期，改善生活质量。
Objective：To probe the combined treatment to cases with recurrent retroperitoneal tumor. Methods：To retrospectively analysis the clinical data of 26 patients with recurrent retroperitoneal tumor admitted from 1998 to 2004, who had been undergone operation radio-chemotherapy or interventional treatment respectively. Results：In whole group, none of patients died during operation, 14 cases endured tumor resection totally or extensively, partial resection or exploratary laparotomy for 12 cases, 2 cases survived for 5 years after operation （7. 7% ） , 5 cases for 3 years（ 19. 2% ）, 8 cases for a year（30. 8% ） , 11 patients died within a year. In wich of all patients, 20 cases endured radio-chemotherapy, radiotherapeutic dose arrange from 50 to 60Gy and chemotherapeutic program with AC （Adriamycin and Cyclophosphamide）, interventional treatment of selective arterioperfusion with 5-FU for 3 cases, intratissue radiotherapy with I^125 particle for 3 cases. 9 patients relapsed recurrent tumor after operation of tumor resection partially or extensively （64. 3% ）, 4 cases endured secondary operation. Conclusion：Combined treatment leaded by operation can lengthen survival period of patients with recurrent retroperitoneal tumor and improve their quality of life.
出处
《临床肿瘤学杂志》
CAS
2006年第6期448-449,454,共3页
Chinese Clinical Oncology
关键词
腹膜后肿瘤
复发
外科
放疗
化疗
Retroperitoneal tumor
Recurrence
Surgery
Radio theapy
Chemotheapy
