肾细胞癌的外科治疗(附342例报告)  

Surgical Treatment for Renal Cell Carcinoma(a Report of 342 cases)

作　　者：龙永其[1] 杨罗艳[1] 张磊[1] 刘紫庭[1] 

机构地区：[1]中南大学湘雅二医院,湖南长沙410011

出　　处：《医学临床研究》2008年第12期2183-2186,共4页Journal of Clinical Research

摘　　要：【目的】探讨肾细胞癌的诊断及手术治疗。【方法】对经手术治疗的肾细胞癌342例资料进行回顾性分析。【结果】行肾癌根治术308例,姑息性肾切除11例,保肾手术23例。3年和5年生存率分别为87.1%和76.5%。【结论】高危人群的定期体检有助于早期诊断肾癌,肾根治性切除术是主要治疗手段,术前肾动脉化疗及栓塞是有效的辅助治疗手段.早期诊断、早期手术是提高肾癌生存率的关键。[Objective]To study the diagnosis and treatment of renal cell carcinoma. [Methods] Clinical data of 342 cases of patients with renal cell carcinoma treated with surgery from june 1998 to June 2008 were reviewed. [Results] Radical nephrectomy was carried out for 308 cases. Simple nephrectomy was carried out for 11 cases. Nephron-sparing surgery was carried out for 23 cases. The 3 year and 5 year survival rates were 87.1% and 76.5%, respectively. [Conclusion] Making periodic physical examination for high-risk group can conduce to early diagnosis. Radical nephrectomy is the major therapeutic method. Chemotherapy and embolism through renal artery are effective adjunctive therapy. Early diagnosis and prompt nephrectomy is the key for achieving the long term survival of patients with renal cell carcinoma.

关 键 词：癌 肾细胞/外科学 

分 类 号：R730.26[医药卫生—肿瘤]