摘要: |
【摘要】 目的 通过总结新生儿腹部实体肿瘤的临床资料,探讨相关诊疗经验。 方法 对郑州大学第一附属医院2011年9月至2021年9月收治的31例新生儿腹部实体肿瘤病例资料进行回顾性分析,并复习相关文献。结果 31例患儿中男性17例,女性14例。通过产前超声检查发现者12例(38.7%),生后发病者19例(61.3%)。恶性肿瘤13例,其中神经母细胞瘤7例,肝母细胞瘤5例,恶性畸胎瘤1例。良性肿瘤18例,其中血管瘤16例,良性畸胎瘤2例。神经母细胞存活4例,失访3例。肝母细胞瘤存活1例,死亡2例,失访2例。恶性畸胎瘤1例,存活。良性肿瘤中,1例失访,其余均存活。结论 产前检查可有助于早期发现部分实体肿瘤,根据肿瘤的性质不同,治疗方案不尽相同。早期、合理的治疗及严密随访对于改善患儿预后有重要意义。 |
关键词: 新生儿 腹部 肿瘤 |
DOI:10.12025/j.issn.1008-6358.2023.20230866 |
分类号:R 72 |
基金项目:国家自然科学基金(81471491). |
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Clinical characteristics of 31 cases of neonatal abdominal solid tumor |
Shen Ziyun, Cheng Xiuyong
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郑州大学第一附属医院
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Abstract: |
Objective By summarizing the clinical data of neonatal abdominal solid tumor, this paper discusses the relevant diagnosis and treatment experience.Methods The data of 31 cases of neonatal abdominal solid tumors admitted to the First Affiliated Hospital of Zhengzhou University from September 2011 to September 2021 were retrospectively analyzed, and the relevant literatures were reviewed. Results There are 17 males and 14 females in 31 children. 12 cases (38.7%) were found by prenatal ultrasound, and 19 cases (61.3%) were found after birth. There were 13 cases of malignant tumor, including 7 cases of neuroblastoma, 5 cases of hepatoblastoma and 1 case of malignant teratoma. There were 18 cases of benign tumor, including 16 cases of hemangioma and 2 cases of benign teratoma. Neuroblasts survived in 4 cases and lost follow-up in 3 cases. One hepatoblastoma survived, two died and two were lost to follow-up. One case of malignant teratoma survived. Among the benign tumors, 1 cases were lost to follow-up, and the others survived. Conclusion Prenatal examination can help to find some solid tumors early. According to the nature of tumors, the treatment schemes are different. Early and reasonable treatment and close follow-up are of great significance to improve the prognosis of children. |
Key words: neonate abdomen tumour |