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本文讨论了29例肾胚细胞瘤诊治体会。患儿染色体畸变而合并先天性畸形的比率高于正常人群数。婴幼儿的侧腹部包块应疑及肾胚细胞瘤,尿路造影及B型超声检查有助于明确诊断。常规大隐静脉切开增加了手术的安全性。选用患侧腹部横切口有利于切除肿瘤。手术后常规作放线菌素D和长春新硷化疗,可提高存活率。
This article discusses the diagnosis and treatment of 29 cases of nephroblastoma. Chromosomal aberrations in children with congenital malformations than the rate of higher than the normal population. Infants with lateral mass should be suspected nephroblastoma, urography and B-mode ultrasound help to confirm the diagnosis. Conventional saphenous vein incision increases the safety of the operation. Selection of ipsilateral abdominal incision is conducive to removal of the tumor. After routine surgery actinomycin D and Changchun new alkaline chemotherapy, can improve the survival rate.