Liu Denghui,Xiao Yaling,Li Yong,et al.Analysis of prognostic risk factors for children with sacrococcygeal teratoma.[J].Journal of Clinical Pediatric Surgery,2018,17(12):935-938.
小儿骶尾部畸胎瘤预后不良的影响因素分析
- Title:
- Analysis of prognostic risk factors for children with sacrococcygeal teratoma.
- Keywords:
- Child; Sacrococcygeal Teratoma; Prognosis; Risk Factors
- 文献标志码:
- A
- 摘要:
- 目的探讨影响小儿骶尾部畸胎瘤预后的危险因素。方法回顾性分析2006年1月至2015年12月由湖南省儿童医院收治的78例小儿骶尾部畸胎瘤患儿临床资料(包括诊断时年龄、性别、临床分型、肿瘤大小、肿瘤性状、血清AFP值、病理类型及术后并发症),单因素分析采用χ2检验,多因素分析采用Logistic回归。结果多因素Logistic发现影响小儿骶尾部畸胎瘤预后的危险因素为:病理类型(OR=17.902,95%CI:7.652~24.362)、诊断年龄(OR=8.601,95%CI:4.321~13.350)、临床分型(OR=7.161,95%CI:3.215~11.856)、肿瘤性状(OR=5.493,95%CI:1.420~9.325)。结论诊断年龄、临床分型、肿瘤性状及病理类型是影响小儿骶尾部畸胎瘤预后的影响因素。
- Abstract:
- ObjectiveTo explore the prognostic risk factors for children with sacrococcygeal teratoma (SCT).MethodsThe clinical data were analyzed for 78 SCT children from January 2006 to December 2015.And the relevant factors included gender,diagnostic age,clinical classification,tumor size,tumor traits,serum level of alpha fetoprotein (AFP),pathological type and postoperative complications.The postoperative recurrence and canceration of teratoma were followed up simultaneously.Then statistical analysis was made by SPSS for each prognostic factor.ResultsPathological type (OR=17.902,95%CI:7.652~24.362),diagnostic age (OR=8.601,95%CI:4.321~13.350),clinical classification (OR=7.161,95%CI:3.215~11.856)and tumor trait(OR=5.493,95%Cl:1.420~9.325) were significantly associated with prognosis (P<0.05).ConclusionDiagnostic age,clinical classification,tumor trait and pathological type are prognostic risk factors for children with sacrococcygeal teratoma.
相似文献/References:
[1]杜朝峻,丁力,胡英超,等.手术治疗婴幼儿法洛四联症83例[J].临床小儿外科杂志,2010,9(06):413.
DU Chao jun,DING Li,HU Ying chao,et al.Surgical treatment of Tetralogy of Fallot in infancy: Experiences of 83 cases.[J].Journal of Clinical Pediatric Surgery,2010,9(12):413.
[2]常绘文,沈振亚.右腋下小切口在儿童心内手术中的应用[J].临床小儿外科杂志,2010,9(06):439.
[3]王勇,汤绍涛,毛永忠,等.腔镜下手术治疗小儿膈肌疾病31例[J].临床小儿外科杂志,2010,9(06):441.
[4]欧阳帆,张治明,曾宾,等.七氟醚复合髂腹股沟-髂腹下神经阻滞用于小儿腹股沟手术[J].临床小儿外科杂志,2010,9(06):466.
[5]徐华,赵陶丽.瑞芬太尼对小儿等离子刀扁桃体腺样体切除术应激反应的影响[J].临床小儿外科杂志,2010,9(06):468.
[6]周辉霞孙宁马立飞孟浩谢华伟申州陶天周晓光黄澄如李宏召张旭.腹腔镜下重复肾半肾切除术手术路径探讨[J].临床小儿外科杂志,2011,10(01):0.
ZHOU Hui xia,SU Ning,MA Li fei,et al.Which laparoscopic surgery approach is better for a nonfunctioning moiety in a duplex kidney in infants and children[J].Journal of Clinical Pediatric Surgery,2011,10(12):0.
[7]蒋欣李箭刘利君彭明惺唐学阳.儿童单纯性膝关节骨软骨骨折的关节镜治疗[J].临床小儿外科杂志,2011,10(01):0.
JIANG Xin,LI Jian,LIU Li jun,et al.Arthroscopic therapy of osteochondral fractures of the Knee in children.[J].Journal of Clinical Pediatric Surgery,2011,10(12):0.
[8]王伟程少文彭磊林忠勤张伟陈庆玉寇冬权.弹性髓内钉在儿童肱骨骨折中的应用[J].临床小儿外科杂志,2011,10(01):0.
WANG Wei,CHENG Shaowen,PENG Lei,et al.Application of elastic intramedullary nailing in pediatric humeral fractures.[J].Journal of Clinical Pediatric Surgery,2011,10(12):0.
[9]寿铁军李勇马能强龚晟.腹腔镜手术治疗小儿腹股沟斜疝1582例[J].临床小儿外科杂志,2011,10(01):0.
[10]吴臻斐陈聪德林进汉刘平李仲荣陈肖鸣.小儿急性肠套叠肠坏死相关因素分析[J].临床小儿外科杂志,2011,10(01):0.