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目的探讨儿童脑肿瘤的诊疗、手术、病理特点及治疗效果。方法对1999年1月～2005年5月间我科手术的儿童脑肿瘤72例进行回顾性分析。结果恶性肿瘤51例,良性肿瘤21例,恶性肿瘤占70.8%;幕上肿瘤38例,其中恶性肿瘤20例。幕下肿瘤34例,其中恶性肿瘤31例。肿瘤全切除、次全切除49例,大部分切除13例,部分切除10例。术后放射治疗43例,占手术病例的59.7%。化疗26例,占手术病例的36.1%。随访到47例,其中恶性肿瘤仍存活21例,已死亡13例。结论儿童脑肿瘤的治疗以手术切除为主.根据各个病例的特殊性,制定不同的手术切除方案,术后进行放疗,但应有别于成人脑肿瘤。恶性肿瘤选择适合的病例进行化疗,对于延长儿童的生存期是有效的。
Objective To investigate the diagnosis, treatment, pathology and treatment of brain tumors in children. Methods A retrospective analysis of 72 children with brain tumors undergoing surgery in our department from January 1999 to May 2005 was performed. Results 51 cases of malignant tumors, 21 cases of benign tumors, malignant tumors accounted for 70.8%; 38 cases of supratentorial tumors, including 20 cases of malignant tumors. Under the screen tumor in 34 cases, of which 31 cases of malignant tumors. Tumor resection, subtotal resection in 49 cases, the majority of resection in 13 cases, partial resection in 10 cases. Postoperative radiotherapy in 43 cases, accounting for 59.7% of surgical cases. Chemotherapy in 26 cases, accounting for 36.1% of surgical cases. Follow-up to 47 cases, of which 21 cases of malignant tumors survived, 13 cases have died. Conclusion The surgical treatment of brain tumors in children is mainly based on the particularity of each case, to develop different surgical resection programs, postoperative radiotherapy, but should be different from adult brain tumors. Chemotherapy for the selection of suitable cancer cases is effective in prolonging child survival.