【摘要】 目的探讨和总结原发性腹膜后肿瘤的手术治疗经验。 方法回顾性分析1993年1月至 2005年9月经手术治疗的85例原发性腹膜后肿瘤，分析总结其病理学类型、影像学检查、外科手术治疗 等临床资料。 结果良性肿瘤33例，恶性肿瘤51例，交界性肿瘤1例，均经手术治疗且病理证实。良 性肿瘤完整切除31例(93.94%);恶性肿瘤完整切除39例(76.47%);交界性肿瘤行完整切除。手术中 联合脏器切除共20例，其中良性2例，恶性18例。良性肿瘤术后复发再手术4例，均完整切除;恶性肿 瘤术后复发再手术19例，完整切除14例，部分切除3例，探查活检2例。 结论影像学检查对术前诊 断和手术切除范围有重要意义。手术完整切除肿瘤是治疗的关键因素。再次手术仍是治疗复发性腹膜 后肿瘤的有效手段。

    【关键词】腹膜后肿瘤;复发

    Surgical treatment of primary retroperitoneal tumor: report of 85 cases Zhao Enhao， Cao Hui， SunYongwei， Luo Meng， Ling Wei， Ni Xingzhi， Wu Zhiyong. Department of Surgery， RenjiHospital，Shanghai Second Medical University， Shanghai 200127， China 【Abstract】 Objective To explore and summarize the experience of surgical treatment of primaryretroperitoneal tumor (PRT). Methods Clinical data of 85 patients with PRT treated from January 1993to September 2005 were retrospectively analyzed including image examination， pathologic examinationand surgical procedure. Results 33 cases of benign PRT， 51 malignant PRT and 1 borderline tumorwere diagnosed by operation and postoperative pathologic examination. Of the 33 patients with benigntumor ......