摘要
目的探讨肾母细胞瘤的诊断和治疗方案,以提高患儿存活率。方法回顾性分析1995年1月～2005年8月我院69例肾母细胞瘤病例的诊治过程。Ⅰ期25例,Ⅱ期23例,Ⅲ期17例,Ⅳ期4例。术前均经彩超,静脉尿路造影,CT及增强检查。均行手术治疗,完整切除瘤体肾60例,部分切除瘤体2例,7例行组织活检。术前化疗30例,所有病例术后均予化疗。结果本组病例2年存活率为81%。结论根治性切除是治疗肾母细胞瘤的关键,术前化疗有利于提高手术成功率,术后化疗可提高存活率。
Objective To discuss the diagnose and therapy of Wilms tumor, in order to improve the survival rate of the affected Cinldren. Methods The efficacy of 69 cases of Wilms tumor （Stage Ⅰ 25, Stage Ⅱ 23, Stage Ⅲ 17, Stage Ⅳ 4） between Jan 1995 and Aug 2005 hospitalization were analysed.All patients were made color flow doppler ultrasound, ⅣP, CT and enhanced examination before the operation. All patients were treated with operation. 60 cases of patients were completely resected the tumor, 2 cases received a partial resection of tumor mass, 7 cases abandoned resection of the tumor mass, biopsy of tumor tissue was corried out. 30 cases of patients were treated with chemotherapy before the operation. All patients were treated with chemotherapy after the operation. Results The survival rate Of 2 years is 81%, Conclusions To resect the tumor completely is the key of the treatment of Wilms tumor. Chemotherapy before the operation is available for elevating the successful rate of the tumor resection, chemotherapy after the operation can increase the survival rate.
出处
《临床小儿外科杂志》
CAS
2006年第2期107-108,139,共3页
Journal of Clinical Pediatric Surgery
关键词
肾母细胞瘤
Wilms tumor, chemical treatment, rate of surviver
