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儿童骶尾部畸胎瘤56例诊治分析

The diagnosis and treatment of sacrococcygeal teratoma in children (56 cases report)

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【作者】 吴宣林; 张宪生; 徐泉; 高亚; 郭新奎; 刘大看;

【Author】 Department of Pediatric Surgery,the Second Hospital of Xi’an Jiaotong University,(Xi’an 710004) Wu Xuanlin Zhang Xiansheng Xu Quan et al

【机构】 西安交通大学医学院第二附属医院小儿外科; 西安交通大学医学院第二附属医院小儿外科 西安710004; 西安710004;

【摘要】 目的:探讨儿童骶尾部畸胎瘤早期临床诊断及手术治疗要点。方法:对我院收治的56例儿童骶尾部畸胎瘤诊治资料进行回顾性分析。结果:5个月以内无恶性畸胎瘤患者,1~3岁患者恶性畸胎瘤达70%。良性畸胎瘤经手术治疗后全部治愈;恶性病例经手术及化疗在术后1~3年死亡。良性畸胎瘤如第一次手术未完整切除,也可恶变。结论:早期诊断,尽早彻底手术切除包括尾骨在内的病变组织及卫星病灶是避免恶变、彻底治愈儿童骶尾部畸胎瘤的关键。

【Abstract】 Objective:To discuss early diagnosis and main points of surgery about sacrococcygeal teratoma in children.Methods : Information about the diagnosis and operative therapy of was annlyzed 56 cases sacrococcygeal teratoma in children.Results :There was no malignant teratoma in children under 5 months older.However,about 70% teratoma were malignant at the age of 1~3 years.All of the innocence teratoma cases were recovered after operation,but some cases might be come malignent if cutting of tumor tissue was incomplete during first operative therapy.And malignent teratoma cases were dead 1~3 years after of operation and chemotherapy.Conclusion: The key points for sacrococygeal teratoma are early period clinical diagnosic and thoroughly exairesis of tumor tissue.Maybe We can avoid malignant in some degree,and innocent teratoma may recover completely after operation.

  • 【文献出处】 陕西医学杂志 ,Shaanxi Medical Journal , 编辑部邮箱 ,2006年08期
  • 【分类号】R739.93
  • 【被引频次】11
  • 【下载频次】187
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