摘要
目的 研究肾肿瘤术中的方法及术后的效果。方法 回顾性分析 2 34例肾肿瘤的资料 ,其中Ⅰ期 12 3例 ,Ⅱ期 89例 ,Ⅲ期15例 ,Ⅳ期 7例。结果 单纯肾肿瘤根治性切除 2 0 6例 ,肾肿瘤根治性切除并加淋巴结清扫 2 8例。 5年存活率 :Ⅰ～Ⅱ期为72 .5 % ,Ⅲ期为 2 2 .3% ,Ⅳ期为 13.6 %。区域淋巴结清扫和扩大淋巴结清扫两组间比较 ,5年生存差别无显著性意义 (P >0 .0 5 )。结论 肾肿瘤根治性手术治疗仍是目前治疗的主要方法 。
Objective To study radical nephrectomy for kidney neoplasms. Methods A total of 234 cases of kidney neoplasms with radical nephrectomy were reviewed, 123 being stageⅠ, 89 stageⅡ, 15 stageⅢ, and 7 stageⅣ. Results 206 cases of tumor of the kidney underwent radical nephrectomy, 28 cases underwent radical nephrectomy, others were treated by radical nephrectomy with retroperitoneal lymphadenectomy. The 5 year survival rate was 72.5% for stages Ⅰ～Ⅱ, 22.3% for stage Ⅲ, and 13.6% for stage Ⅳ. There was not significant difference in 5 year survival rate between regional lymphadenectomy group and extensive retroperitoneal lymphadenectomy group(P> 0.05). Conclusion Radical nephrectomy remains the cardinal method for treatment of primary kidney neoplasms, while extensive retroperitoneal lymphadenectomy does improve the survival in positive lymph node.
出处
《现代泌尿外科杂志》
CAS
2004年第2期78-79,共2页
Journal of Modern Urology
