CAJ | 학술논문

目的：探讨儿童肾脏少见肿瘤的临床特点。方法回顾性分析2005年1月至2011年12月我们收治的34例肾脏少见肿瘤患儿临床资料。男性21例，女性13例。年龄4个月至17岁，平均年龄4.6岁。根据临床症状、辅助检查及治疗方法，分析儿童肾脏少见肿瘤的临床特点。结果腹部肿物、血尿、腹痛是常见的就诊原因。患儿术前均经超声及增强CT检查明确肾脏占位性病变，做出初步临床诊断。20例行瘤肾切除术，14例行保留肾单位的肿瘤切除术。术后根据病理类型，良性肿瘤予定期随访，恶性肿瘤予相应放化疗，目前23例获随访患儿均无瘤存活。结论儿童肾脏少见肿瘤的术前检查具有一定的特点，手术切除是治疗的首要选择，规范的综合治疗可以获得良好的预后。
목적：탐토인동신장소견종류적림상특점。방법회고성분석2005년1월지2011년12월아문수치적34례신장소견종류환인림상자료。남성21례，녀성13례。년령4개월지17세，평균년령4.6세。근거림상증상、보조검사급치료방법，분석인동신장소견종류적림상특점。결과복부종물、혈뇨、복통시상견적취진원인。환인술전균경초성급증강CT검사명학신장점위성병변，주출초보림상진단。20례행류신절제술，14례행보류신단위적종류절제술。술후근거병리류형，량성종류여정기수방，악성종류여상응방화료，목전23례획수방환인균무류존활。결론인동신장소견종류적술전검사구유일정적특점，수술절제시치료적수요선택，규범적종합치료가이획득량호적예후。
Objetive To summarize clinical characteristic of rare renal tumors in children. Methods The participants in this study were 34 patients who were admitted in the department of urology,Bei-jing Children’s Hospital,from January 2005 to December 201 1.21 were boys and 1 3 were girls. The age ranged from 4-month to 1 7-year (mean 4.6 years). We analyzed the clinical characteristic of rare renal tumors in children in the aspect of clinical symptoms,examination and treatment. Results The most common symp-toms were abdomen mass,hematuria and abdominal pain. We made the initial diagnosis by ultrasound and en-hanced CT scan. 20 cases were undergone radical nephrectomy,and 1 4 cases were undergone partial nephrec-tomy. According to pathological types,the patients with benign tumors received regular follow-up,and the pa-tients with malignant tumors received chemotherapy and irradiation. 23 patients were followed up and they all survived without tumor at present. Conclusion There were some characteristics in the examinations of rare renal tumors.Surgical treatment was essential,and the comprehensive treatment could make the good prognosis.