摘要
目的 评估保留肾单位手术在肾血管平滑肌脂肪瘤治疗中的作用。 方法 回顾性分析 49例行保留肾单位手术治疗的肾血管平滑肌脂肪瘤患者资料 ,观察术前及术后肾功能、手术并发症及预后等。肿瘤剜除术 3 1例 ,肾部分切除 15例 ,原位灌注肾部分切除术 3例 ;其中 3例患者术前行选择性肾动脉栓塞术。 结果 切除肿瘤平均直径 6.0cm (2 .5～ 16.0cm) ,3例原位灌注肾部分切除术肿块直径分别为 10 .5cm、12 .0cm和 15.0cm。 49例术中平均失血量 3 10ml (50～ 10 0 0ml)。无手术并发症发生。术前及术后 10d血肌酐值比较差异无显著性 [(89± 2 6)mmol/Lvs (98± 3 4 )mmol/L ,P>0 .0 5]。 45例平均随访 3 6个月 (1～ 76个月 ) ,无肿瘤复发或需血液透析治疗者。
ObjectiveTo evaluate the efficacy of nep hr on-sparing surgery (NSS) for renal angiomyolipoma(RAML).Methods The data of 49 patients of RAML underwent NSS were reviewed.The intra -operative blood loss,preoperative and postoperative serum creatinine,op erative complication and prognosis were observed.Selective arterial embolization was performed in 3 patients before surgical operation.Tumor enucleation in 31 p atients,partial nephrectomy in 15 patients and partial nephrectomy with in situ infusion in 3 patients were performed.ResultsThere wer e no intraoperative complications,the mean blood loss was 310 (50～1000) ml,2 ca s es required blood transfusions.The mean size of tumors enucleated was 6.0 (2.5 ～ 16.0) cm.The tumor diameter size of partial nephrectomy with in situ cooling in 3 patients were 10.5 cm,12.0 cm and 15.0 cm in diameter respectively.There has b een no mortality or postoperative complication.Postoperative serum creatinine co ncentration values have been no significantly different from that of preoperatio n [ (98±34)mmol/L vs (89±26)mmol/L, P >0.05].The mean follow-up of 45 pat ients is 36(1～76) months.No local tumor recurrence has been noted. C onclusionsNSS can be performed with satisfactory result in RAML,and it is the first choice of surgical treatment.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2003年第12期803-805,共3页
Chinese Journal of Urology
