本文报告8年间收治24例神经母细胞瘤.对本瘤的特点,早期诊断困难、误诊率高等问题进行了讨论.说明了B型超声波、尿VMA检查、骨髓细胞学检查在早期诊断中的意义.重点讨论了外科手术治疗,并认为提高本病治愈率的关键是早期诊断、及时手术完整切除瘤体.对Ⅲ、Ⅳ期患儿只要积极争取手术治疗,也有治愈的可能. In this paper, 24 cases of neuroblastoma were treated in 8 years, and the characteristics of the tumor, the difficulties of early diagnosis and the high rate of misdiagnosis were discussed.The significance of B-mode ultrasound and urinary VMA examination and bone marrow cytology in the early diagnosis was described. It focuses on the surgical treatment, and believes that the key to improve the cure rate of this disease is early diagnosis, complete and timely removal of the tumor .For Ⅲ and Ⅳ children as long as actively seeking surgical treatment, but also cure possible.