论文部分内容阅读
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 investigate the clinical effect of surgical treatment of children with retroperitoneal malignant solid tumors. Methods From June 2010 to June 2015, 48 cases of pediatric patients with retroperitoneal solid tumors admitted to Weifang People’s Hospital of Shandong Province were enrolled in this study. All patients underwent complete neoplasm resection and the therapeutic effect was observed. Results The length of hospital stay was 15-30 (20.9 ± 3.1) d and the blood loss was 200-1000 (500.3 ± 57.8) ml. Seven cases were found to be recurrent within one year of follow-up, of which 4 were neuroblastoma, 3 cases of tumor, 5 cases died. Postoperative complications included 2 cases of hemorrhage, 2 cases of ureteral injury, 3 cases of bowel injury, 2 cases of pulmonary infection, 2 cases of pancreatic leakage, 1 case of renal failure, the conclusion of surgical treatment of children with retroperitoneal malignant solid tumors Can get a certain effect, but due to serious condition, the prognosis is not satisfactory.