肾上腺神经母细胞瘤是儿童恶性度较高的肿瘤，转移早，预后差，虽采用综合疗法，但生存率很低。我们对１例晚期患儿采用手术切除并作术中放疗，效果良好，报告如下。患儿，女，４岁。入院前３个月因四肢无力及低热在多家医院就诊，后经骨髓穿刺检查，发现骨髓内有转移性神经母 Adrenal neuroblastoma is a malignant tumor in children, early metastasis, poor prognosis, although the use of integrated therapy, but the survival rate is very low. We were 1 case of late surgical resection and intraoperative radiotherapy, the effect is good, the report is as follows. Children, female, 4 years old. 3 months before admission because of limb weakness and fever in many hospitals for treatment, after bone marrow biopsy and found bone marrow metastatic nerve mother