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目的探讨外科手术治疗小儿原发性心包肿瘤的临床效果。方法选取2013年6月至2015年6月间新疆医科大学第一附属医院收治的30例小儿原发性心包肿瘤患者的临床资料,观察所有患儿经外科手术治疗后的临床效果。结果所有患儿中,恶性血管外皮细胞瘤5例、恶性孤立性纤维瘤5例、恶性间皮瘤4例、低度恶性血管内皮细胞瘤2例、脂肪瘤10例及海绵状血管瘤4例。患儿平均住院时间为(33.23±2.40)d,住院期间无死亡病例。16例恶性肿瘤患儿中有7例进行了术后常规放化疗,平均随访时间为(9.69±0.32)个月,术后3个月时死亡4例,术后11个月死亡6例;14例良性肿瘤患儿术后平均随访时间为(9.90±0.34)个月,随访期间无病例复发或死亡。结论对原发性心包肿瘤需进行良恶性判断,尽早给予手术治疗。
Objective To investigate the clinical effect of surgical treatment of pediatric primary pericardial tumors. Methods The clinical data of 30 cases of primary pericardial tumor in children admitted to the First Affiliated Hospital of Xinjiang Medical University from June 2013 to June 2015 were selected to observe the clinical effect of all the patients treated by surgery. Results Among all children, 5 were malignant hemangiopericytoma, 5 were malignant solitary fibroma, 4 were malignant mesothelioma, 2 were low grade malignant vascular endothelial cell tumor, 10 were lipoma and 4 were cavernous hemangiomas . The average length of hospital stay was (33.23 ± 2.40) days, with no deaths during hospitalization. Seven of the 16 children with malignant tumor underwent conventional postoperative chemoradiotherapy. The average follow-up time was (9.69 ± 0.32) months, 4 died at 3 months and 6 died at 11 months. 14 The average follow-up time of patients with benign tumor was (9.90 ± 0.34) months, and no recurrence or death occurred during follow-up. Conclusion The primary pericardial tumor need to be benign and malignant, as early as possible surgery.