腹腔镜下肾动脉阻断射频消融治疗肾肿瘤疗效观察  

The curative effect of laparoscopic block renal artery radiofrequency ablation for renal tumor

作　　者：刘洪新[1] 张爱民[1] 

机构地区：[1]胜利油田中心医院泌尿外科,山东东营257055

出　　处：《泰山医学院学报》2012年第12期857-859,共3页Journal of Taishan Medical College

摘　　要：目的探讨腹腔镜下肾动脉阻断射频消融治疗肾肿瘤的可行性。方法对11例肾肿瘤患者选择性实施腹腔镜下肾动脉阻断射频消融治疗11次。肿瘤位于左肾5例,右肾6例,肿瘤最大径2.1～4.0 cm,术后采用CT定期随访。结果平均手术时间(86±27)min,平均出血量(47±5)ml,术中均末输血。无腹腔镜手术相关并发症。血红蛋白、血肌酐、患侧肾小球滤过率较术前无明显变化(P>0.05)。术后8例患者3个月后复查CT,病灶完全坏死8例。无局部及远处复发病例。随访1～13个月,中位数6.7个月,11例均生存。无局部及远处复发病例。结论腹腔镜下肾动脉阻断射频消融是一种安全有效治疗肾肿瘤的新方法,比超声引导下射频治疗定位更加精确,可以应用于不适合超声引导下经皮肾穿刺射频消融的病例。Objective：To evaluate the clinical feasibility of laparoscopic block renal artery radiofrequency ablation（FA）for renal tumor.Methods ：Eleven selected cases of primary renal tumor underwent FA with Laparoscopic block renal artery,5 cases of left renal tumors,6 cases had right renal tumors,The maximum diameter of the tumors was 2.1-4.1 cm.The mean operation time was 86±27 min,and the mean bloodloss was 47±5 ml.None of the cases need blood transfusion Post-operation.No laparoscopic operative complications were observed.There was no statistic change of Hb、SCr and GFR after operations（P0.05）.8 cases underwent CT examination 3 months after the treatment,8 cases showed complete necrosis of tumor,No recurrence was found.All of the 11 cases remained survived during the follow-up for 1-13 months（median,6.7 months）.Conclusion：Laparoscopic block renal artery radiofrequency ablation for renal tumor is an accurate and effective intervention with a low incidence of cmplications,and is more accurate than ultrasound-guided percutaneous radiofrequency ablation.

关 键 词：腹腔镜 肾动脉 射频 肾肿瘤 

分 类 号：R737.11[医药卫生—肿瘤]