手术治疗肾癌86例临床分析  

Clinical Analysis of Surgery for Renal Carcinoma(Report of 86 cases)

作　　者：汪东[1] 云志中[1] 马可为[1] 

机构地区：[1]内蒙古自治区医院泌尿外科,内蒙古呼和浩特010017

出　　处：《内蒙古医学杂志》2009年第3期294-295,共2页Inner Mongolia Medical Journal

摘　　要：目的：探讨肾细胞癌的诊断和治疗方法。方法：对1989年1月～2005年6月手术治疗的肾细胞癌86：例资料进行分析。结果：肾细胞癌的诊断主要依靠影像学检查，以B超或彩色多普勒超声及CT为主。86例中行肾癌根治性切除术71例（8z．6％）；6例行保留肾单位手术（7．0％），9例术中因肿瘤分期较晚无法切除。术后病理结果示：透明细胞癌56例（65．1％），颗粒细胞癌14例（16．3％），混合型癌11例（12．8％），其它5例。随访55例，3年生存率为69．8％（60／86），5年为57．0％（49／86）。结论：早期诊断早期手术治疗决定肾细胞癌的预后。Objective：To investigate the diagnosis and treatment of renal carcinoma. Methods：The data of 86 cases of renal carcinoma undergoing surgeries from January 1989 to June 2005 were analyzed. Results： The renal carcinoma was diagnosed by imaging examinations, mainly by B ultrasonography and color Doppler ultrosonography and CT. 86 cases of renal carcinoma, 86 received radical nephrectomy , 15 received surgery remaining nephrons, 9 cases with conserved surgery for.tumors in advanced stage. The pathological results showed 56 cases of clear- cell carcinoma , 14 granular cell carcinoma , 11 mixed type , and 5 other types of carcinoma. In followed- up 55 cases, the three year survival rate was 69.8 % , and five year survival rate was 57.0%. Conclusion：The early diagnosis and early surgery is decisive factors for the prognosis of renal carcinoma.

关 键 词：肾肿瘤 癌 诊断 治疗 

分 类 号：R699.2[医药卫生—泌尿科学] R737.11[医药卫生—外科学]