Zhang Xu,Zhang Na,Zeng Qi,et al.Retrospective analysis of 170 cases of pediatric lung tumor in a single center[J].Journal of Clinical Pediatric Surgery,2022,21(03):215-219.[doi:10.3760/cma.j.cn101785-202201061-003]
儿童肺部肿瘤单中心170例回顾性分析
- Title:
- Retrospective analysis of 170 cases of pediatric lung tumor in a single center
- 摘要:
- 目的 总结分析儿童肺部肿瘤的临床表现、病理类型及治疗经验。方法 以1989年11月至2021年10月于首都医科大学附属北京儿童医院胸外科接受手术治疗的170例肺部肿瘤患儿为研究对象，收集患儿年龄、性别、手术时间、术中出血量等相关资料；计数资料采用频数和构成比描述，计量资料采用中位数描述。结果 本组170例肺部肿瘤患儿中，男99例，女71例；中位诊断年龄62个月（0.8~211个月）。手术切除163例（开胸手术100例、腔镜手术63例），其中全肺切除5例（左侧1例、右侧4例），中位手术时间73 min，手术时间范围15~300 min，中位术中出血量10 mL，术中出血量范围2~500 mL。术后病理结果：胸膜肺母细胞瘤57例（57/170，33.5%），炎性肌纤维母细胞瘤36例（36/170，21.2%），肺转移瘤47例（47/170，27.6%），其他肿瘤30例（30/170，17.6%）。结论 儿童肺部肿瘤的临床症状不典型，影像学表现无特异性，临床诊断困难，且多数为恶性病变，早期诊断、早期治疗对改善预后极为重要。
- Abstract:
- Objective To summarize and analysis the clinical manifestations, pathological types and treatment of pediatric lung tumors in a single center.Methods The data, including age, gender, operation time and intraoperative blood loss, of 170 children with pulmonary tumor undergoing surgical treatment from November 1989 to October 2021 was retrospectively analyzed.In descriptive analysis, counting data were described by frequency and composition ratio, while measurement data were described by median.Results Among the included 170 children with lung tumors, there were 99 males and 71 females with the median age at diagnosis of 62 months (0.8-211 months).163 cases received lung tumors resection (100 cases of thoracotomy, 63 cases of laparoscopic surgery), including 5 cases of pneumonectomy (1 case on the left side, 4 cases on the right side) with the median operation time of 73 minutes (15-300 minutes), and median intraoperative blood loss of 10mL (2-500mL).In the resection group, there were 57 cases (57/170, 33.5%) of pleural pulmonary blastoma (PPB), 36 cases (36/170, 21.2%) of inflammatory myofibroblastoma (IMT), 47 cases (47/170, 27.6%) of pulmonary metastasis, and 30 cases (30/170, 17.6%) of other tumors.Conclusion The clinical symptoms of pediatric lung tumors are not typical, imaging findings are not specific, and clinical diagnosis is difficult, and most of the tumors are malignant lesions, so early diagnosis and treatment are extremely important for prognosis.
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备注/Memo
收稿日期:2022-01-30。
基金项目:北京市医院管理中心儿科学科协同发展中心专项经费资助（XTZD20180105）
通讯作者:曾骐,Email:zengqi-1@163.com