【摘要】 目的总结儿童腹膜后肿瘤的早期诊断,探讨儿童腹膜后肿瘤的手术经验,提高肿瘤切除率。方法对2001年2月—2010年11月收治的儿童腹膜后肿瘤59例的手术方法和临床资料进行回顾性总结。结果 59例中良性肿瘤29例,完整切除25例,部分切除4例,肿瘤完整切除率86.2%;恶性肿瘤30例,完整切除19例,部分切除7例,肿瘤无法切除仅取活检4例,肿瘤完整切除率63.3%;联合脏器切除5例。结论儿童腹膜后肿瘤的早期发现对于提高肿瘤的切除率、患儿的生存率起着决定性作用,术前正确评估和积极准备,术中术野清晰、层次清楚、合理操作,可有效减少并发症,提高切除率。更多还原

【Abstract】 Objective To discussion the early diagnosis and surgical experience of retroperitoneal tumors in children.Methods The clinical date of 59 children with retroperitoneal tumors from 2001-2010 in our hospital were retrospectively analyzed.Results In all 59 cases,29 cases were benign tumors,complete resection in 25 cases,partial resection in 4 cases;30 cases were malignant tumor,complete resection in 19 cases,partial resection in 7 cases,unresectable biopsy only in 4 cases;combined organ resection were 5 cases in all cases.Conclusions Early diagnosis of retroperitoneal tumors in children play an important role in improving tumor resection rate and survival rate of children.Preoperative evaluation and preparing,surgical field clear,reasonable operation can reduce complications and improve the resection rate.更多还原