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目的:评估采用多学科单中心CCCG-HB-2016方案治疗儿童肝母细胞瘤(HB)的临床疗效,分析此方案在临床上的可行性及安全性。方法:前瞻性研究本院2016年8月~2020年3月确诊的36例HB患儿多学科CCCG-HB-2016方案治疗的临床疗效。结果:36例患儿中男20例,女16例。患儿AFP均增高,范围为2 792~2 253 000 ng/ml,AFP与肿瘤危险度分层之间差异有统计学意义(n H=14.973,n P<0.05)。病理分型包括上皮型、上皮-间叶混合型,以上皮型多见,分别为28例(77.78%)、8例(22.22%)。肿瘤危险度分层与手术切除肝叶之间差异有统计学意义(n H=8.847,n P<0.05)。化疗不良反应主要为骨髓抑制,低、中、高危组骨髓抑制发生率分别为58.33%(35/60)、73.49%(61/83)、80.23%(69/86)。随访至2020年3月底,中位随访时间21.9个月,中位生存期为22.5个月,总生存率(OS)为97.2%,无事件生存率(EFS)为83.3%。n 结论:多学科CCCG-HB-2016方案治疗后手术成功率高,术后化疗不良反应以骨髓抑制多见,有较好的可行性、安全性。“,”Objective:To evaluate the clinical efficacy of multi-disciplinary single center's CCCG-HB-2016 regimen in the treatment of hepatoblastoma (HB) in children.Methods:Clinical data of 36 HB patients treated with CCCG-HB-2016 program from Aug 2016 to March 2020 were analyzed.Results:These 36 patients included 20 boys and 16 girls. The serum AFP was all higher than 2 792 ng/ml,there was a correlation between AFP and tumor risk stratification (n H=14.973, n P<0.05). Twenty eight cases (77.78%) were epithelial type and 8 cases (22.22%) were mixed epithelial mesenchymal type.All children were treated by tumor resection combined with chemotherapy, and there was a correlation between tumor risk stratification and surgical resection of liver lobe (n H=8.847, n P<0.05). The probability of bone marrow suppression in the low-risk group was 58.33% (35/60),that in the intermediate-risk group was 73.49% (61/83) and in the high-risk group was 80.23% (69/86).All 36 cases were followed up to March 31, 2020,with an average follow-up of 21.9 months and the median survival was 22.5 months.The overall survival rate (OS) and event-free survival rate (EFS) were 97.2% and 83.3% respectively.n Conclusions:The multidisciplinary CCCG-HB-2016 regimen was with a high success rate and along with a high incidence of bone marrow suppression.