保留肾单位手术治疗局限性肾癌的临床价值  

Clinical value of nephron-sparing surgery in treatment of localized renal cell carcinoma

作　　者：张跃曦[1,2] 田凯[1,2] 王宜林[1,2] 柳其中[1,2] 姚大强[1,2] 郭冠飞[1,2] 

机构地区：[1]漯河医学高等专科学校第一附属医院 [2]漯河市中心医院泌尿外科,462000

出　　处：《中国实用医药》2013年第14期33-34,共2页China Practical Medicine

摘　　要：目的评价保留肾单位手术治疗局限性肾癌的疗效与安全性。方法回顾分析64例采用保留肾单位手术治疗局限性肾癌患者的临床资料。观察手术时间、肾蒂阻断时间、出血量、并发症及肿瘤控制情况。结果 64例手术均顺利完成。平均手术时间(125±35)min,平均肾蒂阻断时间(27±3)min,术中平均出血(245±65)ml。术后继发出血3例,经选择性肾动脉栓塞后治愈。1例并发尿瘘经充分引流后治愈。随访18～52月,局部复发2例而行根治性手术,无肿瘤远处转移。结论保留肾单位手`术治疗局限性肾癌安全、有效,可在不降低复发率的前提下保留患肾功能。Objective To evaluate the efficacy and safety of nephron-sparing surgery in patients with localized renal carcinoma.Methods The clinical date of 64 patients of localized renal carcinoma who had undergone nephron-sparing surgery were analyzed retrospectively.The operative time,renal interrupted time,blood loss,postoperative complications and tumor control situation were observed and evaluated respectively.Results The procedure was successfully completed in all 64 cases.The mean operative time was（125±35）min,the mean renal interrupted time was（27±3）min and the blood loss was（245±65）ml.Secondary bleeding had occurred in 3 cases and was cured by using emergency selective arterial embolization.one patient occurred urinary fistula and was cured by taking adequate drainage.During the follow-up 18~52 months,2 cases underwent radical nephrectomy because of local recurrence and no tumor distant metastasis were detected.Conclusion Nephron-sparing surgery is a safe and effective procedure for localized renal cell carcinoma.It can preserve renal function without increase the rate of tumor recurrence.

关 键 词：局限性肾癌 肾癌根治术 保留肾单位手术 

分 类 号：R737.11[医药卫生—肿瘤]