杨体泉 唐咸明 容兑熙 陈自敏 谭志忠 530027 南宁, 广西医科大学第一附属医院小儿外科 中华小儿外科杂志 1998 0 19 1


    关键词：卵巢肿瘤；；畸胎瘤；；中肾瘤 期刊 zhxrwkzz 0 临床研究 fur -->


    

    摘要 目的: 了解影响小儿卵巢肿瘤生存率的因素, 探讨合理的治疗方案以提高治愈率。方法: 34例小儿卵巢肿瘤患儿为1973～1995年所收治, 年龄4～14岁, 右侧18例, 左侧16例,其中3例合并蒂扭转。均经手术及病理证实。良性24例(70.6%), 恶性10例(29.4%)。结果:29例获随访。24例良性畸胎瘤术后1例复发; 2例恶性畸胎瘤术后无瘤生存期分别为6年和2年;3例内胚窦瘤术后均死于肿瘤广泛转移。结论: 对于良性卵巢肿瘤主张行患侧附件切除。对于Ⅰ、Ⅱ期恶性肿瘤除行患侧附件切除外, 应剖视对侧卵巢, 并进行活检、术后化疗及严密随访。 对Ⅲ、Ⅳ期恶性卵巢肿瘤强调作根治性手术, 尽可能切除原发灶及所有转移病灶,同时术后化疗, 以达长期缓解。

    Ovarian Tumors in Children an Analysis of 34 Cases Yang Tiquan, Tang Xianming, Rong Duixi, et al. Dept. of Pediatric Surgery. The 1st Affiliated Hospital of Guangxi Medical University, Nanning 530027

    Abstract Objective: To discuss factors affecting the survival rate and reasonable treatment of ovarian tumor in children. Methods: Thirty-four patients (aged 4-14 years) with ovarian tumors were treated from 1973 to 1995. The site in 18 cases was on the right, and 16 on the left. Three had a pedical torsion. Of them, 24 were benign (70.6%), and 10 malignant teratoma (29.4%). Results: Twenty-nine cases were followed-up. One of the benign group relapsed. One of the two malignant teratoma has lived well for 6 years, and the other died 2 years after operation. Three cases w

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