保留肾单位的肾癌消融治疗

Nephron sparing surger of ablation to renal cancer

目的孤立肾、双肾肿瘤等是根治性肾切除术的禁忌症,保留肾单位的肾肿瘤切除术是一个明智的选择。该文探讨用消融术治疗强迫性保留肾单位的肾癌患者的可行性。方法2000年6月￣2004年2月,用WE7568巨能肿瘤消融刀消融治疗强迫性保留肾单位的原发性肾癌患者5例。术后随访6～46个月,平均27个月。定期复查血肌肝、血尿素氮、双肾ECT、B超和CT等。结果5例全部按期随访,1例术后3个月出现肾功能衰竭,采用透析治疗,现仍存活,余均正常。结论消融术是治疗强迫性保留肾单位肾癌患者的一种有效治疗方法。

[Objective] Solitory kidney and bilateral renal tumors are absolute eontraindieations to radical nephreetomy. Nephron sparing nephreetomy or surgery （NSS） is a good choice. This articles to explore the ablation in imposed nephron sparing surgery to renal cancer. [Methods] From June 2000 to February 2004, 5 patients with imposed nephron sparing because of primary renal cancer by pathologic examintion were treated by radiofrequeney multi-hook probe ablation. Follow-up time of post-treatment is 6-46 months, mean 27 months. Follow-up items ineluded ereantine, BUN, bilateral renal ECT, ultrsound and CT scan. [Results] All patients were followed up as plan. One was renal failure, the others are normal. [Conclusion] Ablation is an effective method in imposed nephron sparing surgery to renal cancer.