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目的探讨小儿胃畸胎瘤的诊断、影像特点、治疗及预后。方法对本院1997年3月～2006年10月收治的4例小儿胃畸胎瘤,结合文献报道,回顾性地分析其临床及影像特点。结果4例均行手术治疗,肿瘤完整切除,胃修补成形术。位于胃小弯、胃大弯各1例,位于胃底2例,胃壁均有充盈缺损。经B超或CT检查,囊性肿块3例,实质性肿块1例。1例左肾移位,脾脏受压,腹腔镜检1例,证实为囊性畸胎瘤。结论小儿胃畸胎瘤多为良性,经手术治疗后,多无复发且预后良好,临床特征和影像特点是早期诊疗的关键。
Objective To investigate the diagnosis, imaging features, treatment and prognosis of children with gastric teratoma. Methods From March 1997 to October 2006 in our hospital, 4 cases of pediatric gastric teratocarcinoma were treated and reported in the literature. The clinical and imaging features were retrospectively analyzed. Results All the 4 patients underwent surgical treatment, complete tumor resection and gastric repair and angioplasty. Located in the lesser curvature of the stomach, each of the great curvature of the stomach in 2 cases, the stomach wall filling defect. B ultrasound or CT examination, cystic mass in 3 cases, 1 case of substantial mass. One case of left kidney displacement, spleen compression, laparoscopy in 1 case, confirmed as cystic teratoma. Conclusion Most children with gastric teratoma are benign. After operation, they have no relapse and the prognosis is good. Clinical features and imaging features are the key points in early diagnosis and treatment.