摘要
目的探究外科手术治疗小儿腹膜后恶性实体肿瘤的临床效果。方法选取2010年6月至2015年6月间山东省潍坊市人民医院收治的48例小儿腹膜后恶性实体肿瘤患者,患儿均实施肿瘤完整切除术,观察治疗效果。结果患儿住院时间为15~30(20.9±3.1)d,术中出血量为200~1000(500.3±57.8)ml,随访1年内可见7例复发,其中神经母细胞瘤4例,恶性畸胎瘤3例,5例死亡。术后出现并发症包括2例大出血,2例输尿管损伤,3例肠管损伤,2例肺部感染,2例胰漏,1例肾功能衰竭,结论采用外科手术对小儿腹膜后恶性实体肿瘤进行治疗可获得一定效果,但由于病情较重,预后方面不理想。
Objective To examine the clinical efficacy of surgery for pediatric retroperitoneal malignant solid tumors. Methods Clinical data on 48 children with retroperitoneal malignant solid tumors treated at Weifang People＇s Hospital from June 2010 to June 2015 was selected. All the children underwent complete tumor resection. Efficacy was observed. Results Postoperative complications included 2 cases of bleeding,2 cases of ureteral injury,3 cases of bowel injury,2 cases of pulmonary infection,2 cases of pancreatic leakage and 1 case of renal failure. Length of hospital stay was 15 to 30（ 20. 9 ± 3. 1） and intraoperative blood loss was 200 ~ 1000（ 500. 3 ± 57. 8） ml. Within the follow-up of 1 year,recurrence occurred in7 cases. Among them,4 cases had neuroblastoma,3 cases had malignant teratoma and 5 cases died. Conclusion Surgical positive and effective treatment for pediatric retroperitoneal malignant solid tumors can obtain certain benefits,but due to the severe condition of malignant tumors,prognosis are still not good.
作者
沈刚
刘慧贤
张敬
SHEN Gang LIU Hui-xian ZHANG Jingl(Department of Pediatric Surgery Department of Dermatology, Weifang People＇s Hospital , Weifang 261041, China)
出处
《中国肿瘤临床与康复》
2017年第2期191-193,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
外科手术
小儿腹膜后恶性肿瘤
预后
Surgical Procedures
Operative
Pediatric retroperitoneal malignant tumors
Prognosis
