保留肾单位手术治疗小肾癌的临床分析  

Nephron sparing surgery for small renal cell carcinoma

作　　者：郁华亮[1] 叶林阳[1] 杨渝[1] 林茂虎[1] 朱晓应[1] 马晗[1] 

机构地区：[1]解放军总医院第304临床部泌尿外科,北京100037

出　　处：《军医进修学院学报》2009年第5期633-634,共2页Academic Journal of Pla Postgraduate Medical School

摘　　要：目的探讨保留肾单位手术治疗小肾癌的疗效。方法47例患者行保留肾单位的小肾癌切除术,男31例,女16例,平均年龄48岁。肿瘤直径0.8～3.0cm,平均2.3cm。透明细胞癌38例,嫌色细胞癌6例,乳头状肾细胞癌2例,囊性肾癌1例。术后定期行腹部CT、超声、尿常规及肾功能检查。结果47例手术均成功。术后随访45例,失访2例,平均随访17个月,45例肿瘤均无复发。结论保留肾单位手术治疗小肾癌安全有效。Objective To investigate the clinical effect of nephron sparing surgery on small renal cell carcinoma. Methods Nephron sparing surgery for small renal cell carcinoma was performed in 47 patients （31 males and 16 females; mean age 48 years）. The tumor ranged 0.8-3.0cm in diameter with a mean diameter of 2.3cm. Pathological examination showed a clear cell carcinoma in 38 patients, a chromophobe carcinoma in 6 patients, a papillary cell carcinoma in 2 patients and a cystic renal carcinoma in 1 patient, respectively. After operation, all the patients underwent regular abdominal CT, ultrasound, urine test and renal function examination. Results The operation was successful in all the 47 patients and 45 patients were followed up. The mean follow-up time was 17 months. During the follow-up, the 45 patients had no tumor recurrence. Conclusion Nephron sparing surgery is a safe and effective procedure for small renal cell carcinoma.

关 键 词：小肾癌 外科手术 保留肾单位 

分 类 号：R737.14[医药卫生—肿瘤]