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目的:小儿胃肠道肿瘤的发病率近年有上升之势,故必须予以注意。方法:对1977.1~1998.5经我院手术治疗的38例小儿胃肠道肿瘤病例进行临床分析。结果:所有患儿均经手术治疗,13例恶性消化道肿瘤患儿术后5年内死亡,而良性肿瘤中仅1例小肠巨大海绵状淋巴管瘤患儿术后10天死亡,死亡率分别为65%和5.56%。结论:小儿胃肠道肿瘤主要表现为腹胀、腹痛、肠梗阻、呕吐、吐血、便血和贫血等,诊断依据病史、症状、体征、实验室检查、X线、B超、CT、RMI、DSA、γ照相、(99)mTC扫描和内窥镜等。而治疗则是尽早手术。
Purpose: The incidence of gastrointestinal cancer in children has risen in recent years, it must be noted. Methods: From January 1977 to May 1998, 38 cases of pediatric gastrointestinal cancer treated by our hospital were analyzed clinically. Results: All the children underwent surgical treatment. Thirteen patients with malignant gastrointestinal tumors died within 5 years after operation, while only 1 patient with benign tumors with giant cavernous lymphangioma died after 10 days. The mortality rates were 65% and 5.56%. The diagnosis of gastrointestinal tract in children was mainly abdominal distension, abdominal pain, intestinal obstruction, vomiting, vomiting blood, blood in the stool and anemia. The diagnosis was based on medical history, symptoms and signs, laboratory tests, X-ray, B ultrasound, CT, RMI, DSA, gamma photography, (99) mTC scanning and endoscopy. The treatment is as soon as possible surgery.