探析开放手术中保留肾单位术式治疗肾癌的临床价值

探析开放手术中保留肾单位术式治疗肾癌的临床价值

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-06-25

The Analysis on the Curative Effect of Nephron-Sparing Surgery in the Open Operation for Renal Cell Carcinoma

Received:1900-01-01 Revised:1900-01-01 Online:2012-06-25

摘要/Abstract

摘要： 目的:通过比较开放手术中保留肾单位术式(NSS)与根治性肾切除术式(RN)治疗肾癌的疗效,探析保留肾单位术式的临床应用价值。方法:收集64例肾癌患者的临床诊治资料进行回顾性分析,对照组(n=32)采用根治性肾切除术式治疗,观察组(n=32)采用保留肾单位术式治疗,对比临床疗效及远期效果。结果:对照组与观察组的手术时间无显著性差异(P>0.05),观察组患者的术中出血量明显少于对照组,差异有显著性(P<0.05);两组患者的肿瘤复发率、死亡率均无显著性差异(P>0.05)。结论:在需要进行开放手术治疗的肾癌患者中,保留肾单位术式治疗肾癌效果满意,具有降低术中出血量、肿瘤术后复发率低、死亡率低的优点。

Abstract: Objective:To compare the curative effect of Nephron-sparing surgery in the open operation and the radical nephrectomy in patients with renal cell carcinoma.Methods:64 patients with renal cell carcinoma were divided into 2 groups by random.The control group(n=32) took the radical nephrectomy.The observe group(n=32) took the Nephron-sparing surgery.The duration of operation,blood loss,neoplasm recurrence were recorded and analyzed.Results:There were no significant differences between the two groups in the duration of operation(P>0.05).The blood loss of the observe group was much less than the control group(P<0.05).There were no significant differences between the two groups in the neoplasm recurrence and the mortality(P>0.05).Conclusion:Nephron-sparing surgery is a safe and effective treatment for renal cell carcinoma patients in the open operation.

. 探析开放手术中保留肾单位术式治疗肾癌的临床价值[J]. .

快速检索引用检索图表检索高级检索