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肾癌根治术与保留肾单位术治疗肾癌疗效比较
引用本文:丁彦才,陈福宝,张超,韩立忠,师宏斌,余洋,赵瑞宁,杨晓波. 肾癌根治术与保留肾单位术治疗肾癌疗效比较[J]. 宁夏医学杂志, 2010, 32(5): 441-443
作者姓名:丁彦才  陈福宝  张超  韩立忠  师宏斌  余洋  赵瑞宁  杨晓波
作者单位:1. 宁夏医科大学,宁夏,银川,750004
2. 宁夏医科大学附属医院,宁夏,银川,750004
摘    要:
目的探讨肾癌患者行肾癌根治术与保留肾单位的肾癌切除术疗效分析与随访。方法回顾性分析行肾癌根治术160例、保留肾单位术42例患者的临床资料。依据手术方式分为根治组(RN)及保留肾单位组(NSS),评估RN与NSS组手术时间、住院天数、出血量、术后并发症及局部复发情况。结果 RN组平均手术时间(95±22)min,平均住院日(11±3)d,术中出血(220±70)ml,术后输血2例,128例成功随访3-55个月,3例复发并远处转移,死于心脑疾病13例。NSS组平均手术时间(165±38)min,平均住院日(15±4)d,术中出血(658±292)ml,术后输血5例,38例成功随访3-50个月,局部复发1例,死于其它疾病者4例。结论保留肾单位术治疗肾细胞癌远期临床效果与肾细胞癌根治术无明显差别,且具有安全、有效、局部复发率低、更好的保留功能性肾单位等优点。

关 键 词:肾肿瘤  根治术  保留肾单位手术  随访

The study on curative effect of radical nephrectomy and nephron sparing surgery for renal carcinoma
DING Yan-cai,et al.. The study on curative effect of radical nephrectomy and nephron sparing surgery for renal carcinoma[J]. Ningxia Medical Journal, 2010, 32(5): 441-443
Authors:DING Yan-cai  et al.
Affiliation:The Affiliated Hospital of Ningxia Medical University/a>;Yinchuan 750004/a>;China
Abstract:
Objective To investigate the renal cell carcinoma patients with radical nephrectomy and nephron-sparing surgery for renal cell carcinoma Clinical analysis and following-up.Methods A retrospective analysis of 160 cases of radical nephrectomy,nephron-sparing surgery in patients with clinical data of 42 patients.The patients were divided into radical group and nephron-sparing group based on surgical approach.The duration of operation,hospital days,blood loss,postoperative complications and local recurrence wer...
Keywords:Kidney neoplasms  Radical nephrectomy  Nephron sparing surgery  follow-up  
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