单纯骶尾部入路治疗婴幼儿各型骶尾部畸胎瘤的疗效分析  

Effect analysis of single sacrococcygeal approach in treatment of various types of sacrococcygeal teratoma in infants

作　　者：鲁盈 时红光[1] 陈琦[1] LU Ying;SHI Hong-guang;CHEN Qi(Department of Pediatric Surgery,The Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第三附属医院小儿普外科,郑州450052

出　　处：《医药论坛杂志》2022年第7期32-35,共4页Journal of Medical Forum

摘　　要：目的 探讨单纯骶尾部入路治疗婴幼儿各型骶尾部畸胎瘤的可行性、安全性及疗效。方法 回顾性分析2010年9月-2020年9月由郑州大学第三附属医院小儿普外科收治且手术的74例骶尾部畸胎瘤患儿的临床资料及随访资料,将其中单纯经骶尾部入路治疗的72例患儿依据Altman分型分为A组、B组、C组、D组,分别统计其一般资料及手术时间、住院时间、切口愈合等临床资料和肛门直肠功能、有无复发等随访资料,比较四组患儿在手术时间、住院时间、切口愈合、肛门直肠功能及复发上有无差异。结果 74例患儿中有72例经单纯骶尾部入路手术得以完整切除,其中A组34例、B组22例、C组9例、D组7例,随访时间8~128个月,四组患儿的手术时间、住院时间、术后肛门直肠功能障碍发生率、复发率分别为(38.88±2.61、36.50±3.24、40.11±5.06、44.28±5.74)min、(18.35±0.78、17.64±0.97、19.33±1.52、15.57±1.72)d、(23.5%、27.3%、55.6%、42.9%)、(2.9%、9.1%、11.1%、0.0%),但差异均无统计学意义(P>0.05),切口愈合不良率分别为35.3%、0.0%、11.1%、0.0%,差异有统计学意义(P<0.05)。结论 单纯骶尾部入路治疗婴幼儿各型骶尾部畸胎瘤是安全可行的,临床效果满意。Objective To investigate the feasibility, safety and efficacy of single sacrococcygeal approach in the treatment of various types of sacrococcygeal teratoma in infants.Methods The clinical data and follow-up data of 74 children with sacrococcygeal teratoma who were treated by pediatric General Surgery department of the Third Affiliated Hospital of Zhengzhou University from September 2010 to September 2020 were retrospectively analyzed. Among them, 72 children treated by sacrococcygeal approach alone were divided into group A,group B,group C and group D according to Altman classification.The general information and clinical data such as operation time, length of hospital stay, incision healing, and follow-up data such as anorectal function and recurrence were analyzed, and the differences in operation time, length of hospital stay, incision healing, anorectal function and recurrence were compared among the four groups.Results In 74 cases, 72 cases were completely resected by sacrocaudal approach, including 34 cases in group A,22 cases in group B,9 cases in group C,and 7 cases in group D. Follow-up time was 8-128 months.The operative time, hospital stay, incidence and recurrence rates of anorectal dysfunction in the four groups were(38.88±2.61,36.50±3.24,40.11±5.06,44.28±5.74) min,(18.35±0.78,17.64±0.97,19.33±1.52,15,15.57±1.72)d,(23.5%,27.3%,55.6%,42.9%),(2.9%,9.1%,11.1%,0.0%),but the difference was not statistically significant(P>0.05),the wound healing rate was 35.3%,0.0%,11.1%,0.0%,respectively.The difference was statistically significant(P<0.05).Conclusion It is feasible and safe to treat various types of sacrococcygeal teratoma in infants by single sacrococcygeal approach with satisfactory clinical results.

关 键 词：单纯骶尾部入路 骶尾部畸胎瘤 婴幼儿 疗效 

分 类 号：R730.56[医药卫生—肿瘤]