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目的进一步了解和认识儿童髓母细胞瘤 ,提高显微外科手术技巧 ,减少手术并发症 ,予病人术后良好生存质量。方法对34例儿童髓母细胞瘤的临床资料进行分析。结果34例均主要采用显微手术治疗 ,全切除肿瘤27例 ,次全切除4例 ,部分切除3例 ,手术死亡2例 ,死亡率为5.9 %。获随访30例 ,临床治愈24例 ,症状改善6例 ,5年生存率为50 %。结论积极手术治疗及微创的显微外科技巧是保证减少术后并发症 ,获得良好预后的关键。对于大多数患儿 ,建议术后辅以放疗。
Objective To understand and recognize children’s medulloblastoma, to improve the skills of microsurgery, to reduce the complications of surgery and to give patients good quality of life after surgery. Methods The clinical data of 34 cases of children with medulloblastoma were analyzed. Results All the 34 cases were treated by microsurgical operation. Totally resected tumors were 27 cases, subtotal resection in 4 cases, partial resection in 3 cases and surgical death in 2 cases, with a mortality rate of 5.9%. 30 cases were followed up, 24 cases were clinically cured, 6 cases were improved, and the 5-year survival rate was 50%. Conclusion The positive surgical treatment and minimally invasive microsurgical techniques are the key to ensure the reduction of postoperative complications and obtain a good prognosis. For most children, postoperative radiotherapy is recommended.