摘要
目的进一步了解和认识儿童髓母细胞瘤 ,提高显微外科手术技巧 ,减少手术并发症 ,予病人术后良好生存质量。方法对34例儿童髓母细胞瘤的临床资料进行分析。结果34例均主要采用显微手术治疗 ,全切除肿瘤27例 ,次全切除4例 ,部分切除3例 ,手术死亡2例 ,死亡率为5.9 %。获随访30例 ,临床治愈24例 ,症状改善6例 ,5年生存率为50 %。结论积极手术治疗及微创的显微外科技巧是保证减少术后并发症 ,获得良好预后的关键。对于大多数患儿 ,建议术后辅以放疗。
Objective To understand deeply the medulloblastoma in children, improve the operative skill, reduce operative complications and give a satisfactory living quality to the patients. Methods Of the 34 patients, 27 were treated with total resection, 4 with subtotal resection and 3 with partial resection. Results Two died after operation and the operative motality was 5.9%. Thirty patients were followed up for 1 to 10 years. The 5-year survival rate was 50%. Conclusion A minimally invasive technique is crucial for reducing the operative complications and achieving good results. Radiotherapy is considered as a supplementary therapy for most of the patients with medulloblastoma.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2000年第4期388-390,共3页
Journal of Third Military Medical University
