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目的:探讨经腹和骶尾部联合手术治疗Ⅲ型及Ⅳ型小儿骶尾部畸胎瘤的方法。方法:回顾我院9年来经腹和骶尾部联合手术治疗Ⅲ型及Ⅳ型小儿骶尾部畸胎瘤9例,经术中及术后的病理确诊,其中6例为良性畸胎瘤,3例为恶性畸胎瘤。结果:本组中2例恶性畸胎瘤术后复发,1例有尿潴留。结论:经腹和骶尾部联合手术,手术视野大,能充分暴露及切除全部肿瘤。而保护输尿管、直肠和骶丛,防止出血及盆底重建可以减少并发症。
Objective: To explore the method of transabdominal and sacrococcygeal joint surgery for type Ⅲ and Ⅳ pediatric sacrococcygeal teratoma. Methods: Nine cases of type 3 and type IV pediatric sacrococcygeal teratoma treated by transabdominal and sacrococcygeal combined surgery in our hospital for 9 years were retrospectively reviewed. Six cases were benign teratoma and three cases were benign teratoma after intraoperative and postoperative pathological examination. For malignant teratoma. Results: 2 cases of malignant teratoma recurrence in this group, 1 case of urinary retention. CONCLUSION: Combined operation of the abdomen and sacrococcygealis has a large operative field of vision and can fully expose and resect all tumors. While protecting the ureter, rectum and sacral plexus, to prevent bleeding and pelvic floor reconstruction can reduce complications.