| 巨大肾癌术前介入治疗的应用 |
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| 引用本文： | 叶宁,李志坚,万严,许晨,熊健,徐育青.巨大肾癌术前介入治疗的应用[J].江西医药,2010,45(8):754-755. |
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| 作者姓名： | 叶宁 李志坚 万严 许晨 熊健 徐育青 |
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| 作者单位： | 1. 江西省九江市第一人民医院放射科, 九江,332000
2. 江西省九江市第一人民医院泌外科 |
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| 摘 要： | 目的评价外科手术前经肾动脉灌注栓塞治疗巨大肾癌上的疗效。方法对32例巨大肾癌病人术前进行超选择肾动脉灌注栓塞术（栓塞组）,以26例未行介入治疗直接手术患者作为对照组,外科手术切除肿瘤组织后对两组患者治疗效果进行比较。结果栓塞组外科手术中平均出血量为260ml,手术时间平均为95min;对照组出血量平均为410ml,手术时间平均为140min;栓塞组术中肿瘤及肾周组织水肿,周围组织容易分离,标本显示肿瘤明显缩小,肿瘤周边呈黑色,病理见肿瘤细胞坏死,其周有炎性淋巴细胞。结论巨大肾癌外科手术前肾动脉灌注栓塞术能有效降低手术风险,提高肿瘤可切除率。
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| 关 键 词： | 超选择 肾动脉灌注栓塞 巨大肾癌 |
The application of interventional therapy before surgery on huge renal cell carcinoma |
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| Institution: | Ye Ning, Li Zhijian, Wang Yan, et al. Department of radiology, the first people hospital of Jiujiang,Jiujiang 332000, China |
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| Abstract: | Objective To evaluate the clinical effects of renal artery embolization（RAE） on huge renal cell carcinoma before surgery.Methods 32 patients of huge renal cell carcinoma were performed by superselective RAE berofe surgery.26 cases did not performed by RAE were set up as control group. The clinical effects were compared between RAE group and control group.Results The average blood loss and operation time in RAE group were 260ml and 95 min, respectively,whereas 410ml and 140min in control group.In operation process,the tumors organizations were easily separated with surrounding tissue and solid tumors were decreased obviously in RAE group.Further more,the periphery of the tumors were black and dropsical.The pathology demonstrated the tumor necrosis and inflammatory cells infiltration.Conclusion RAE on huge Renal cell carcinoma before surgery can decrease the surgery risk and increase the tumor resection rate. |
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| Keywords: | superselective renal artery embolization huge renal cell carcinoma |
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