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目的探讨腹膜后淋巴结清扫术以及AFP在小儿睾丸肿瘤治疗中的价值。方法43例小儿睾丸肿瘤中有27例行腹膜后淋巴结清扫术。16例AFP升高，随访32例存活29例，其中淋巴结清扫16例，未清扫13例，存活病例中术前AFP阳性8例。结果腹膜后淋巴结清扫组的存活率与未清扫组无显著差异，术前AFP阳性的存活率与阴性者亦无显著差异。结论不应将腹膜后淋巴结清扫术作为小儿睾丸肿瘤的常规治疗；术前AFP升高与预后无相关关系。
Objective To investigate the value of retroperitoneal lymph node dissection and AFP in pediatric testicular cancer. Methods Twenty-seven cases of pediatric testicular tumors underwent retroperitoneal lymphadenectomy. 16 cases of AFP increased, followed up 32 cases of survival in 29 cases, including 16 cases of lymph node dissection, 13 cases were not cleaned, the survival of preoperative AFP in 8 cases. Results The survival rate of retroperitoneal lymph node dissection group was not significantly different from that of the non-emptied cervical lymph node group. There was no significant difference between preoperative AFP positive survival rate and negative rate. Conclusion Retroperitoneal lymph node dissection should not be used as a routine treatment for pediatric testicular tumors. There is no correlation between preoperative AFP elevation and prognosis.