CAJ | 학술논문

目的探讨小儿原发性纵隔肿瘤和囊肿的诊断及治疗.方法回顾性分析79例小儿原发性纵隔肿瘤和囊肿的临床资料.所有病例均经手术和病理证实.结论本组病例中,小儿原发性纵隔肿瘤和囊肿占同期我科收治的原发性纵隔肿瘤及囊肿的13.96%(79/566).其中神经源性肿瘤21.5%(18/79)、肠源性囊肿15.2%(12/79)、畸胎瘤17.7%(14/79),其他肿瘤和囊肿44.30%(35/79).无临床症状而于查体时发现12例,占15.19%.手术切除74例,手术切除率93.7%(74/79),经治疗后康复出院76例,死亡3例.结论小儿纵隔肿瘤和囊肿的术前诊断依据胸部X线、CT扫描及超声检查,必要时可以结合MRI扫描判断病变范围,而确诊则依赖于术中所见及术后病理检查.其病情复杂,变化快,可危及患儿生命,除淋巴瘤外宜选手术治疗.
목적 탐토소인원발성종격종류화낭종적진단급치료.방법 회고성분석79례소인원발성종격종류화낭종적림상자료.소유병례균경수술화병리증실.결론 본조병례중,소인원발성종격종류화낭종점동기아과수치적원발성종격종류급낭종적13.96%(79/566).기중신경원성종류21.5%(18/79)、장원성낭종15.2%(12/79)、기태류17.7%(14/79),기타종류화낭종44.30%(35/79).무림상증상이우사체시발현12례,점15.19%.수술절제74례,수술절제솔93.7%(74/79),경치료후강복출원76례,사망3례.결론 소인종격종류화낭종적술전진단의거흉부X선、CT소묘급초성검사,필요시가이결합MRI소묘판단병변범위,이학진칙의뢰우술중소견급술후병리검사.기병정복잡,변화쾌,가위급환인생명,제림파류외의선수술치료.
Objective To investigate the diagnosis and treatment of primary mediastinal tumors and cysts in children.Methods The data of 79 patients admitted from 1966 to 2009 with primary mediastinal tumors and cysts were retrospectively reviewed.All patients underwent surgery and pathological examination.Results The primary mediastinal tumors and cysts in children accounted for 13.96% of primary mediastinal tumors and cysts at the same period.In these 79 patients,neurogenic tumors were diagnosed in 18 (21.5%)patients,gastrointestinal cyst was 15.2%(12/79),teratoma was 17.7%(14/79),and the others were 44.30%(35/79).Twenty-two patients without clinical symptoms were diagnosed by health checkup,accounting for 15.2% in all cases.Tumors in 74 patients(93.7%)were resected,and the mortality rate was 3.8%(3/79).Conclusions The preoperative diagnosis of mediastinal tumors and cysts in children primarily bases on chest X ray,CT scan,ultrasonography,and MRI scan in some cases,but the final diagnosis depends on the intraoperative findings and pathologic examination.Except of lymphoma,primary mediastinal tumors and cysts should be treated by surgery appropriately.