目的：探讨小儿肝母细胞瘤的诊断、治疗及预后。方法：回顾性分析２４例肝母细胞瘤的临床资料，并对部分病例进行随访。结果：手术仅取活检者均于手术后半年内死亡。手术完整切除肿瘤１２例全部获访，８例生存期超过５年，生存期最长２例分别达２０年和２３年。结论：对小儿肝母细胞瘤，只要能早期诊断和完整切除肿瘤，是可以治愈的。 Objective: To investigate the diagnosis, treatment and prognosis of hepatoblastoma in children. Methods: A retrospective analysis of 24 cases of hepatoblastoma clinical data, and some cases were followed up. Results: Only biopsies were taken within six months after surgery. Complete resection of the tumor in 12 cases were all visited, 8 cases of survival of more than 5 years, the longest survival of 2 cases were 20 years and 23 years. Conclusion: Pediatric hepatoblastoma can be cured if it can be diagnosed early and completely resected.