三峡库区160例儿童肿瘤特点分析及其防治对策

Tumor characteristics and countermeasures of 160 pediatric cases in Three Gorges Reservoir Area

目的:分析三峡库区部分区县儿童肿瘤的现状、类型、特点,并探讨其防治措施,为科学防治提供依据。方法:对2006～2009年三峡库区17个区县5 462例病残儿医学鉴定中,确诊为肿瘤的160例患儿进行统计分析研究。结果:160例肿瘤患儿中共发现37种不同类型的肿瘤,前3位分别为血液系统的肿瘤48例、神经系统的肿瘤41例和皮肤血管瘤23例。其中良性肿瘤13种65例占40.62%,恶性肿瘤24种95例占59.38%。前3位恶性肿瘤依次为白血病(血液系统)40例(25%)、颅内恶性肿瘤(神经系统)33例(20.62%)和泌尿生殖系统肿瘤8例(5.0%)。结论:三峡库区儿童肿瘤以急慢性淋巴细胞白血病和颅内恶性肿瘤为主,积极开展小儿恶性肿瘤的早期预防、早期诊断和及时正确的治疗,是部分恶性肿瘤治愈、提高生存率和生活质量的关键。

OBJECTIVE：To analyze the pediatric tumor status,type and characteristics in Three Gorges Reservoir Region District,and to explore the control measures,so as to provide scientific basis for prevention. METHODS：From 2006 to 2009 there were 160 children with tumor found among 5 462 disabled children in 17 counties of Three Gorges Reservoir area.They were subject to statistical analysis.RESULTS：Thirty-seven different types of tumors were discovered in the 160 cases,including 13 types of benign tumors with 65 cases accounting for 40.62%,24 types of malignant tumor with 95 cases accounting for 59.38%.The top three tumors were 48 cases of hematological origin,41 of the nervous system and 23 of skin origin.The three most common malignant tumors were leukemia （hematological system） 40 cases（25%）,intracranial malignant tumor（nervous system） 33 cases（20.62%） and urogenital tumors 8 cases（5.0%）.CONCLUSION：The common types of the children tumor in Three Gorges Reservoir Area mainly were acute and chronic lymphocytic leukemia and malignant intracranial tumors.To carry out early prevention of pediatric malignancy,early diagnosis and correct active treatment is the key to cure some malignant tumors,improve the survival rate and quality of life.