摘要
目的评价经尿道环形电切输尿管开口联合腰部切口根治肾盂癌的临床效果。方法男性7例,女性5例,平均年龄63岁,12例肾盂癌患者先采用尿道电切镜行患侧输尿管口膀胱壁袖套状切除,而后行经腰部肾输尿管切除术。结果12例均手术成功,手术时间90-120 min,平均为105 min。术中出血量50-120 ml,平均90ml。术后无严重并发症。结论经尿道环形电切输尿管开口联合腰部切口治疗肾盂癌具有创伤小、并发症少、术后恢复快等特点,是一种安全有效的手术方法。
Objective To evaluate the surgical technique for the treatment of renal pelvic carcinoma. Methods Twelve patients with renal pelvic calcinoma, 7 male and 5 female, aged 50 -75 （av. 63 ）, were treated in our hospital from August 2004 to July 2006. The bladder cuff on the affected side was first excised via the urethra. The patient was then posed to lie on the healthy side to undergo the total nephroureterectomy via laparotomy. Results The operation was successful in the whole series, lasted 90 - 120 rain （av. 105 min） , with blood loss averaged 90 ml （50 - 120 ml）. No serious complications were encountered after the operation. Conclusions The modified surgical technique is effective for the treatment of renal pelvic carcinoma, causing less trauma and fewer complications and allowing quick recovery.
出处
《徐州医学院学报》
CAS
2007年第7期449-450,共2页
Acta Academiae Medicinae Xuzhou
关键词
肾盂肿瘤
肾输尿管切除术
renal pelvic neoplasms
nephroureterectomy
