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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。
Objective To explore the characteristics of surgical treatment of these tumors combined with the characteristics of recurrent retroperitoneal malignant tumors. Methods The clinical data of 18 patients with recurrent retroperitoneal malignant tumors admitted in our hospital from 2000 to 2004 were collected retrospectively from preoperative imaging examination, preoperative preparation, operation method and follow-up results. Results In addition to 1 patient died of acute renal failure, the other 17 cases were successful. The follow-up time ranged from 6 months to 5 years. The mean survival time was 49.7 months. The 5-year survival rate was 54.3% and the recurrence rate was 52.9%. Conclusion B-mode ultrasound and CT are the preferred diagnostic methods for recurrent retroperitoneal malignant tumors. Surgical treatment is the most important treatment of such tumors.