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目的:探讨儿童脑部肿瘤的临床特点以及治疗效果。方法:收集2011年1月至2014年1月脑部肿瘤患儿病例98例,回顾分析其临床资料以及治疗情况。结果:儿童脑部肿瘤中幕上肿瘤占36.73%,幕下占63.27%;主要症状为60例(61.22%)呕吐,59例(60.20%)头痛,40例(40.82%)步态不稳以及肢体共济失调等;治疗以手术为主,34例(34.69%)脑室外引流术+肿瘤切除术,5例(5.10%)脑室腹腔分流术+肿瘤切除术,59例(60.20%)肿瘤切除术;81例(82.65%)好转出院,11例(11.22%)尚在进一步放化疗中,6例(6.12%)死亡。结论:儿童脑部肿瘤临床表现复杂多样,治疗应以手术切除为主,并根据患者的具体情况合理选择手术切除方案,术后配合放化疗可获得良好的预后。
Objective: To investigate the clinical characteristics of children with brain tumors and the therapeutic effect. Methods: A total of 98 children with brain tumors from January 2011 to January 2014 were retrospectively analyzed. The clinical data and treatment were retrospectively analyzed. Results: The incidence of supratentorial tumors was 36.73% in children and 63.27% in infratentorial tumors. The main symptoms were vomiting in 60 cases (61.22%), headache in 59 cases (60.20%), gait instability in 40 cases (40.82%), Ataxia, ataxia and so on. In the treatment group, 34 cases (34.69%) of extracerebral venous drainage and tumor resection, 5 cases (5.10%) of ventriculoperitoneal shunt + tumor resection and 59 cases (60.20%) of tumor resection ; 81 patients (82.65%) were discharged better, while 11 patients (11.22%) were still receiving radiotherapy and chemotherapy and 6 patients (6.12%) were discharged. Conclusion: The clinical manifestations of brain tumors in children are complex and diverse. The treatment should be based on surgical excision. According to the specific conditions of the patients, the surgical resection program should be chosen reasonably. Postoperative radiotherapy and chemotherapy can achieve a good prognosis.