保留肾单位治疗在肾恶性肿瘤治疗中的应用

Application of renal preservation therapy in the treatment of renal cell carcinoma

以肾部分切除术(partial nephrectomy,PN)为主的保留肾单位治疗已受到广泛的认可并逐步在临床中推广。此外,积极监测随访(active surveillance,AS)及消融治疗也是保留肾单位治疗的一部分。AS适用于高手术风险、高龄、体弱及拒绝手术治疗的患者;消融治疗则是另一种重要的保留肾单位治疗的方式,但只用在极少数患者中且最终效果有待评估。

Partial nephrectomy（PN）, one way of renal preservation therapy, has been widely accepted and gradually extend in the clinical. In addition, the renal preservation therapy also includes active surveillance（AS） and ablation therapy. AS has been advocated by some patients who are unfit for surgery. Ablation therapy is another important renal preservation therapy, but limited to small number of patients. Their real clinical roles are still under evaluation.