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目的:总结小儿骨肿瘤的临床特点,提出合理的诊断和治疗方式。方法:对10年122例小儿骨肿瘤进行临床、X 线片、活检以及治疗方面的详细分析。结果表明:小儿骨肿瘤的类型与成人不同,容易误诊。90%的患儿可根据 X 线平片作出骨肿瘤诊断,80%可作出分类。90%的病例经穿刺活检获得病理诊断。骨肉瘤以截肢术为主,7例行保肢术,辅以化疗,2年生存率41.7%。结论:对小儿肢体骨肿瘤应重视,X 线平片是诊断骨肿瘤的基本手段,穿刺活检能简便、安全地获取病理诊断。三科联合会诊是减少误诊的最佳途径。小儿骨肉瘤的保肢术应慎重。
Objective: To summarize the clinical features of pediatric bone tumors and propose reasonable diagnosis and treatment. Methods: A detailed analysis of clinical, X-ray, biopsy, and treatment of 122 cases of pediatric bone tumors over 10 years was performed. The results showed that the types of bone tumors in children are different from those in adults and are easily misdiagnosed. 90% of the patients can be diagnosed with bone tumors based on plain radiographs, and 80% can be classified. In 90% of cases, pathological diagnosis was obtained by biopsy. Osteosarcoma was mainly performed with amputation. Seven limbs were treated with amputation and supplemented with chemotherapy. The 2-year survival rate was 41.7%. Conclusions: Attention should be paid to the pediatric extremity bone tumors. X-ray plain film is the basic method for diagnosing bone tumors. The biopsy can be easily and safely obtained for pathological diagnosis. The three associations are the best way to reduce misdiagnosis. Limb salvage surgery in children should be careful.