小儿肝肿瘤的外科治疗  

Surgical treatment of liver tumor in childhood

作　　者：王淑芹[1] 雷宇[1] 李龙[1] 黄柳明[1] 魏征[1] 柳平[2] 

机构地区：[1]北京大学第一医院小儿外科,100034 [2]北京大学第一医院病理科,100034

出　　处：《中华普通外科杂志》2006年第1期32-34,共3页Chinese Journal of General Surgery

摘　　要：目的探讨儿童肝肿瘤的临床诊断与治疗。方法本组肝肿瘤患儿共23例,21例行手术切除。结果术后病理:良性肿瘤10例,恶性肿瘤11例。随访0．5-3年,死亡2例。1例肝母细胞瘤死于肿瘤复发,腹腔淋巴结广泛转移、肺转移;另1例肝血管内皮肉瘤行肝移植术,术后1年肿瘤复发．再次行肿瘤切除术,术后1．5年复发,死亡。其余均存活。良性肿瘤术后3年生存率100％ (10／10),生长发育良好;恶性肿瘤1年生存率100％,3年82％(9／11)。结论儿童肝肿瘤多为先天性。恶性肿瘤体积大、生长快,需手术与化疗结合治疗,可以改善预后;良性肿瘤可完整切除,术后效果满意。Objective To investigate the diagnosis and treatment of liver tumor in children. Methods Among 23 cases,21 cases underwent resection. Results Benign tumors were in 10 cases and malignant tumors in 11 cases. All patients were followed up for 0. 5 - 3 years. Two cases died during the follow-up. Three year survival rate in benign tumor was 100% （10/10） and 82% （9/11） in malignant tumor. Conclusions Most malignant liver tumors were embryonal in children. Combination therapy of surgery and chemotherapy improves the prognosis. Prognosis of benign tumors after total resection is satisfactory.

关 键 词：肝肿瘤 肝切除术 病理学 临床 

分 类 号：R735.7[医药卫生—肿瘤] R734.2[医药卫生—临床医学]