33例神经母细胞瘤的疗效分析

Analysis of curative effect of nuroblastoma

目的 分析33例神经母细胞瘤的治疗效果。方法 对近10年治疗神经母细胞瘤的临床资料、治疗方法及治疗效果进行分析。结果 住院期间死亡4例,出院后死亡11例。目前仍存活18例,其中存活2年1例、3年2例、4年4例、8年2例、9年1例、最长1例10年。结论 神经母细胞瘤诊断困难,临床表现多样化。对晚期肿瘤进行综合治疗,可改善治疗效果。影响疗效的因素有年龄、肿瘤的分型及发生部位。开展胎儿的产前诊断,有望提高早诊率。

Objective To analyse the results of treatment of 33 cases of neuroblastoma.Methods From 1990 to 1999 study on neuroblastoma have been made on clinical data, including methods and effectiveness of the treatment. Results 15 patients died,4 among of them during the hospitalization period, 11 other followed later after discharged from the hospital. And 18 patients remain alive now. 1 case survived at two years,2 cases 3 years, four patients 4 years, two cases remained in 8 years, and 1 in 9 years, while the most lasted case alive 10 years. Conclusion The clinical features of neuroblastoma is so variegated that early diagnosis is difficult to be made.To improve the effects of treatemnt of neuroblastoma,complex treatment should be adopted including chemotherapy or intervention therapy and surgical operation.By the way,in order to enhance the earlier diagnosis and increase survival rate,antenatal ultrasounographic diagnosis should be launch out.