保留肾单位手术治疗肾细胞癌的临床研究  

CLINICAL RESEARCH ON NEPHRON-SPARING SURGERY FOR 13 PATIENTS WITH RENAL TUMORS

作　　者：虎华静[1] 邓发凯[1] 吴建军[1] 韦建军[1] 庞健[1] 胡峰[1] 李熠亮 

机构地区：[1]成都市第六人民医院泌尿外科,成都610051

出　　处：《现代预防医学》2007年第5期971-972,974,共3页Modern Preventive Medicine

摘　　要：[目的]探讨保留肾单位的肾部分切除手术治疗肾癌的安全性和合理性。[方法]对13例肾癌患者行保留肾单位的肾部分切除术。男8例,女5例。平均年龄49岁。平均肿瘤直径3.2cm。病理分期均为T1N0M0。评估肾蒂阻断时间、术后并发症及局部复发情况。[结果]13例手术均顺利完成,肾蒂阻断时间平均15min。术后无出血及漏尿。平均随访47.2个月,未出现局部复发或远处转移。[结论]对于适合的肾肿瘤患者,保留肾单位的肾部分切除术是一种安全有效的术式,可在不降低生存率的前提下保留患肾功能。手术指征可扩展至对侧肾脏正常的患者。[Objective] To evaluate the safety and rationality of nephron-sparing surgery for renal cell carcinoma. [Methods] Nephron-sparing surgery was conducted on total of 13 patients with localized renal cell carcinoma . Of the 13 patients, 8 were male and 5 were female, with an average age of 47.2 years. The mean diameter of the tumors was 3.2 cm and the T1N0M0 stage was found in 13 cases, lntraoperative renal ischemla time, postoperative complications and incidence of postoperative local recurrence were evaluated. [ Results] The procedure was successful in all 13 patients with the mean intraoperative renal ischemia trine of 15min. There was no postoperative complications. During the follow-up period of 42.7 months, all cases had no recurrenee or metastasis. [Conclusion] Nephron-sparing surgery is an effective and safe operation for patients with renal tumors, providing functional advantage gained by the maximal preservation of unaffected renal parenchyma without sacrificing cancer control. The indications may be expanded to patients with a normal contralateral kidney.

关 键 词：肾肿瘤 治疗 保留肾单位手术 

分 类 号：R737.11[医药卫生—肿瘤]