成年人骶前肿瘤的临床特点及外科治疗方法的选择

目的探讨成年人骶前肿瘤的临床特点及外科治疗方法。方法回顾性分析2007—2012年诊治的24例成年人骶前肿瘤的临床特点及治疗措施。所有患者术前均行直肠指检及影像学检查明确定位诊断，经旁骶尾入路17例，经腹入路4例，经腹经骶联合入路3例。结果切口一期愈合22例，术后并发切口感染2例，经换药后治愈。无围手术期死亡病例。24例中有20例术后随访3—17个月，1例经腹入路患者术后复发，再行手术切除治愈。结论直肠指检、影像学检查是成年人骶前肿瘤的主要诊断方法，可指导手术方式，大多数肿瘤都可以采用经旁骶尾入路切除。

Clinical characteristic and surgical management of adult presacral tumors

Objective To investigate the clinical characteristics and surgical management of adult presacral tumors. Methods The clinical data of 24 patients with adult presacral tumors from 2007 to 2012 were retrospectively analysed. All patients were diagnosed by digital rectal examination and imaging examination before operation. Seventeen patients with via sacrococcygeal approach,4 patients with via abdominal approach,and 3 patients with via combined abdominal and sacrococcygeal approach. Results The incision of 22 patients primary healing. There were 2 patients with postoperative incision infections, after dressing change cure. No patients died during perioperative period. Twenty patients were foUowed up for 3 - 17 months, 1 patient with via abdominal approach recurrenced, and was healed after a second surgical resection. Conclusions Digital rectal examination and imaging examination are the main methods for diagnosis of adult presacral tumors. Most adult presacral tumors can be resected through sacroeoccygeal route.