摘要
目的:通过比较开放手术中保留肾单位术式(NSS)与根治性肾切除术式(RN)治疗肾癌的疗效,探析保留肾单位术式的临床应用价值。方法:收集64例肾癌患者的临床诊治资料进行回顾性分析,对照组(n=32)采用根治性肾切除术式治疗,观察组(n=32)采用保留肾单位术式治疗,对比临床疗效及远期效果。结果:对照组与观察组的手术时间无显著性差异(P>0.05),观察组患者的术中出血量明显少于对照组,差异有显著性(P<0.05);两组患者的肿瘤复发率、死亡率均无显著性差异(P>0.05)。结论:在需要进行开放手术治疗的肾癌患者中,保留肾单位术式治疗肾癌效果满意,具有降低术中出血量、肿瘤术后复发率低、死亡率低的优点。
Objective：To compare the curative effect of Nephron-sparing surgery in the open operation and the radical nephrectomy in patients with renal cell carcinoma.Methods：64 patients with renal cell carcinoma were divided into 2 groups by random.The control group（n=32） took the radical nephrectomy.The observe group（n=32） took the Nephron-sparing surgery.The duration of operation,blood loss,neoplasm recurrence were recorded and analyzed.Results：There were no significant differences between the two groups in the duration of operation（P〉0.05）.The blood loss of the observe group was much less than the control group（P〈0.05）.There were no significant differences between the two groups in the neoplasm recurrence and the mortality（P〉0.05）.Conclusion：Nephron-sparing surgery is a safe and effective treatment for renal cell carcinoma patients in the open operation.
出处
《中国医药导刊》
2012年第6期941-942,共2页
Chinese Journal of Medicinal Guide
关键词
肾癌根治术
保留肾单位手术
肾癌
临床疗效
Radical nephrectomy
Nephron-sparing surgery
Renal cell carcinoma
Curative effect
