肾癌369例临床分析  

A retrospective study of 369 cases of renal cell carcinoma

作　　者：李青[1] 程继义[2] 王振声[1] 杨波[1] 魏学斌[1] 

机构地区：[1]山东省千佛山医院泌尿外科,济南250014 [2]山东省立医院泌尿外科

出　　处：《中华泌尿外科杂志》2001年第8期496-498,共3页Chinese Journal of Urology

摘　　要：目的　提高肾细胞癌的诊治水平。　方法　对 36 9例肾细胞癌患者的发病、诊治和预后情况进行回顾性分析。　结果　透明细胞癌 2 81例 (76 .2 % ) ,颗粒细胞癌 39例 (10 .6 % ) ,混合细胞癌 42例 (11.4% ) ,其它癌 7例。行肾癌根治性切除术 30 1例 (81.6 % ) ,其它方式手术 45例 ,其中静脉癌栓取出术 12例。随访 2 97例 ,3、5、10年生存率分别为 74.6 %、5 6 .2 %和 2 8.2 %。　结论　B超和CT是目前诊断肾细胞癌的重要手段 ,早期行根治性肾癌切除术仍是最有效的治疗方法 ,联合生物治疗对晚期和姑息性治疗病人有一定效果。Objective To study the diagnosis and treatment of renal cell carcinoma. Methods 369 cases of renal cell carcinoma were reviewed for their incidence,diagnosis,treatment and prognosis. Results 281 cases(76.2%) were clear cell carcinoma ,39 cases (10.6%) of granular cell carcinoma,42 cases(11.4%) being a combination of the above two varieties and 7 cases being of other cell types. Radical nephrectomy was performed for 301 cases (81.6%) and other procedures for 45 cases. 297 cases have been followed up:three-year,five-year and ten-year survival rates were 74.6%、56.2% and 28.2% respectively. Conclusions B type ultrasonography and computerized tomography (CT) are important means in the diagnosis of renal cell carcinoma.The most effective treatment is radical nephrectomy at early stage,wherea sbiological treatment works in certain degree.

关 键 词：肾肿瘤 癌 诊断 治疗 

分 类 号：R737.11[医药卫生—肿瘤]