41例小儿腹膜后肿瘤分析

目的：探讨小儿腹膜后肿瘤临床特点及预后，为临床提供参考。方法：回顾性分析2008年1月－2012年6月本院行手术治疗的小儿腹膜后肿瘤患者41例，按照术后病理结果分为恶性肿瘤组（23例）和良性肿瘤组（18例），对两组患者的发病性别、年龄、术中术后并发症及预后进行分析。结果：恶性肿瘤组和良性肿瘤组不同性别及年龄发病率进行比较，其中恶性肿瘤的发病率，男孩高于女孩，发病年龄以2—10岁的患儿为主，差异有统计学意义（P〈0．05）小儿腹膜后肿瘤术中术后常见并发症有肺部感染、肠管损伤、术中大出血、输尿管损伤、胰漏、肾衰等，所有患儿随访1年，恶性肿瘤组的复发率为39．13％（9／23），良性肿瘤组为2．56％（1／18），差异有统计学意义（z。=4．4860，P〈0．05）；恶性肿瘤组的死亡率为30．43％（7／23），良性肿瘤组无死亡例数。结论：小儿腹膜后恶性肿瘤多见以2-10岁的男孩，其复发率及死亡率均较高，。积极提高手术技能，有利于减少并发症的发生，并能提高手术的切除率。

Analysis on 41 Cases with Pediatric Retroperitoneal Tumors

Objective： To explore clinical characteristics and prognosis of pediatric retroperitoneal tumors, in order to provide reference for clinical diagnosis and treatment. Method： 41 patients with surgical treatment of pediatric retroperitoneal tumors were retrospective analyzed from January 2008 to June 2012. According to the postoperative pathologic results , they were divided into malignant tumors group （ 23 cases ） and benign tumor group （ 18 cases ）, the onset of children with gender, age, intraoperative complications and prognosis of the two groups were analyzed. Result： Incidence of different gender and age of malignant tumors group and benign tumor group were compared, boys were more than girls, onset age was given priority to with 2-10 years old children, the difference was statistically significant （ P〈0.05 ） . Common postoperative complications of two groups were pulmonary infection, intestinal canal injury, intraoperative bleeding, ureteral injury, pancreatic leakage, renal failure and so on, all patients were followed up for 1 year. Malignant tumor group recurrence rate was 39.13% （ 9/23 ）, benign tumor group was 2.56% （ 1/18 ）, the difference was statistically significant （X^2=4.4860, P〈0.05 ） ; The mortality of malignant tumor group was 30.43% （ 7/23 ）, benign tumor group had no death cases. Conclusion： 2-10 years old and boy of pediatric retmperitoneal malignant tumor is more, the recurrence rate and mortality rate were higher, and to actively improve the operation skills, and to reduce complications, it can improve the resection rate of surgery.