儿童脉络丛乳头状瘤

Choroid Plexus Papillomas in Children

目的 总结儿童脉络丛乳头状瘤的临床特点和治疗经验。方法 回顾分析过去6年间我科收治的24例儿童脉络丛乳头状瘤的临床资料。结果 本组24例,占同期儿童颅内肿瘤的1.6％,发病平均年龄为7.7岁,男女之比为5:7。肿瘤位于侧脑室者14例;第四脑室内者7例;第三脑室内者2例;CPA 1例。显微手术全切和近全切除率达95.9％(23/24),术后复查CT的11例均有脑积水和/或硬膜下积液,经穿刺外引流和分流手术治愈。结论 儿童脉络丛乳头状瘤为良性肿瘤,预后较好,手术切除和及时处理术后并发症是治疗的关键。

Objective To summarized the clinical characteristic and experiences of treating choroid plexus papillomas in children. Method The clinical data of 24 patients with choroid plexus papillomas during last 6 years were analyzed retros-pectiely. Results Twenty-four cases of choroid plexus papillomas accounted for 1.6% of all intracranial tumors during the same period in the children. The patients' average age was 7.7 years old. The ratio of boys to girls was 5:7. Of 24 cases of the tumors, 14 occurred in the lateral ventricle (14/24), 7 in the fourth ventricle, 2 in the third ventricle and 1 in CPA. Total and subtotal removals were obtained in 23 cases (23/24). All 11 cases examined by postoperative CT scan had hydroceplulus and/ or subdural hygromas, which were cured by the subdural space-puncture and extra-drainage, or ventriculoperitoneal shui::. Conclusions The choroid plexus papilloma is benign and its prognosis is good. The key to treating it is surgical resection and coping with the postoperation complications on time.