手术治疗肾癌121例临床分析

目的探讨手术治疗肾癌的临床效果及影响其预后的相关因素。方法回顾性分析行手术治疗的121例肾癌患者临床资料，观察生存率情况及影响预后的因素。结果121例肾癌患者行。肾癌根治性切除术99例，保留肾单位手术20例，射频消融1例，姑息手术1例；术后1、3、5a总生存率分别为97％、84％、63％，中位生存时间为66．8个月；病理分级、TNM分期、淋巴结转移、年龄、病理类型、有无症状、高血压及静脉瘤栓是肾癌预后的影响因素（P〈0．05）。结论年龄、组织病理分级、TNM分期、淋巴结转移、有无症状，高血压及静脉瘤栓对判断肾癌手术后患者的预后有重要价值。

Analysis of surgical treatment of renal cancer in 121 cases

Objective To explore the therapeutic outcome of surgical treatment of renal cancer and its prognostic factors. Methods The clinical data of 121 cases of renal cancer after surgery were retrospectively analyzed, and the survival rates and prognostic factors were observed. Results In 121 cases, 99 were performed radical nephrectomy, 20 were performed nephron-sparing surgery, 1 was performed radiofrequency ablation, and 1 was performed palliative surgery. The 1-, 3- and 5-year total survival rates were 97%, 84% and 63% respectively, with the median survival time of 66.8 months. The pathologic grade, TNM stage, lymphatic metastasis, histologic subtype, age, symptoms, hypertension and venous thrombus were the influence factors for the prognosis （P〈0.05）. Conclusions The age, pathological grade, TNM stage lymphatic metastasis, symptoms, hypertension and venous thrombus have great values to predicting the prognosis of renal cancer after surgery.