摘要
目的:探讨超声在小儿骶尾部畸胎瘤(SCT)诊断中的应用价值。方法:回顾性选取2015年1月至2020年9月期间于福建省妇幼保健院进行超声检查且病理证实的SCT患儿27例,分析其临床特征与超声特点。结果:26例(96%)患儿年龄小于1岁,27例SCT中成熟性畸胎瘤25例,未成熟性畸胎瘤2例。25例成熟性畸胎瘤囊性为主16例(64%),囊实混合性7例(28%),实性为主2例(8%);Altman分型Ⅰ型19例,Ⅱ型3例,Ⅲ型2例,Ⅳ型1例,术前超声提示SCT 20例,5例未做定性诊断。2例未成熟性畸胎瘤均为囊实混合性(100%);Altman分型均为Ⅰ型,术前超声均提示SCT。27例患儿术后随访6个月至76个月,除2例成熟性畸胎瘤术后原位恶性复发卵黄囊瘤,余患儿未见异常。结论:SCT多见于1岁以下婴幼儿,超声能对大部分SCT做出初步诊断及分类。
Objective To investigate the value of ultrasonography in children sacrococcygeal teratoma(SCT).Methods The clinical and ultrasonic characteristics of 27 children with SCT who underwent ultrasound examination and were pathologically confirmed in Fujian provincial maternity and children´s hospital from January 2015 to September 2020 were retrospectively analyzed.Results Twenty-six(96%)children were younger than 1 year old,25 of the 27 SCT patients were mature teratoma and 2 of the 27 SCT patients were immature teratoma.Among 25 mature teratoma,16 cases(64%)were cystic,7 cases(28%)were mixed and 2 cases(8%)were solid;Altman classified 19 cases of type I,3 cases of typeⅡ,2 cases of typeⅢand 1 case of typeⅣ;preoperative ultrasonography indicated 20 cases of SCT and 5 cases did not make qualitative diagnosis.2 cases of immature teratoma were cysto-solid mixed(100%);All Altman types were type I,and preoperative ultrasound suggested SCT.All 27 children were followed up for 6 months to 76 months,and no abnormalities were observed except 2 cases of mature teratoma with in-situ malignant recurrent yolk sac tumor.Conclusion SCT is most common in children under 1 year old,and ultrasound can make a preliminary diagnosis and classification for most of SCT.
作者
陈锦文
凌文
CHEN Jin-wen;LING Wen(Fujian Provincial Maternity and Children´s Hospital,Fujian Fuzhou 350000)
出处
《深圳中西医结合杂志》
2021年第18期92-94,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
骶尾部畸胎瘤
超声诊断
儿童
Sacrococcygeal teratoma
Ultrasound
Children
作者简介
陈锦文,女,住院医师,主要研究方向是妇产及儿科超声方面。
