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保留肾单位肾部分切除术治疗偶发性肾癌19例临床分析
引用本文:鲁卫民,蒋政干,王志金.保留肾单位肾部分切除术治疗偶发性肾癌19例临床分析[J].蚌埠医学院学报,2012,37(8):953-954.
作者姓名:鲁卫民  蒋政干  王志金
作者单位:安徽省宿州市立医院,泌尿外科,234000;安徽省宿州市立医院,泌尿外科,234000;安徽省宿州市立医院,泌尿外科,234000
摘    要:目的:观察保留肾单位肾部分切除术(NSS)治疗偶发性肾癌的临床效果.方法:对19例偶发性肾癌患者进行NSS治疗,术中均行低温下肾动脉阻断.每3个月行腹部CT、B超及尿常规、肾功能检查.结果:19例手术均顺利完成,术后继发性出血1例,漏尿1例.随访6~24个月,无局部复发和远处转移.结论:选择合适的病例,NSS治疗偶发性肾癌是安全有效的.

关 键 词:肾肿瘤  肾单位  肾切除术

Clinical analysis of nephron-sparing surgery in treatment of 19 cases with incidental renal cell carcinoma
LU Wei-min , JIANG Zheng-gan , WANG Zhi-jin.Clinical analysis of nephron-sparing surgery in treatment of 19 cases with incidental renal cell carcinoma[J].Journal of Bengbu Medical College,2012,37(8):953-954.
Authors:LU Wei-min  JIANG Zheng-gan  WANG Zhi-jin
Institution:(Department of Urology,Suzhou Municipal Hospital,Suzhou Anhui 234000,China)
Abstract:Objective:To observe the clinical effects of nephron-sparing surgery on incidental renal cell carcinoma(RCC).Methods:The data of 19 incidental RCC patients underwent nephron-sparing surgery were retrospectively analyzed.Renal artery of all cases were blocked at lower temperatures.The CT and ultrasound of abdomen,urinalysis and kidney functions were examined per 3 months.Results:The operation of 19 cases were successfully completed and 1 case with secondary bleeding and 1 case with urinary fistulas were found at postoperative.All patients were followed up for 6 to 24 months,no case with local recurrence or distant metastasis was detected.Conclusions:Nephron-sparing surgery is safe and effective way for treatment of incidental RCC patients.
Keywords:kidney neoplasms  nephron  nephrectomy
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