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目的 探讨肾细胞癌的治疗方法。 方法 总结 81例肾癌治疗经验 ,行肾癌根治性切除术 73例、姑息性肾切除 6例、肾肿瘤剜除术 2例。其中 38例术前行肾动脉造影加栓塞术再行肾癌根治术。 结果 81例术后病理诊断 ,透明细胞癌 5 2例 ,颗粒细胞癌 19例 ,混合细胞癌 6例 ,囊性肾细胞癌 4例。 81例中 6 5例随访 12～ 110个月 ,5年生存率 :Ⅰ期 83.9% ,Ⅱ期 78.9% ,Ⅲ期 33.3% ,Ⅳ期 16 .7%。 结论 肾癌根治术前肾动脉栓塞是保证手术成功和良好预后的较好方法。保肾手术适应证选择恰当是关系预后的重要因素。
Objective To investigate the treatment of renal cell carcinoma. Methods 81 cases of renal cell carcinoma were treated. Radical resection of renal cell carcinoma was performed in 73 cases, palliative nephrectomy in 6 cases and nephrectomy in 2 cases. Among them, 38 cases underwent preoperative renal artery angiography plus embolization followed by radical nephrectomy. Results 81 cases were diagnosed pathologically. There were 52 cases of clear cell carcinoma, 19 cases of granulosa cell carcinoma, 6 cases of mixed cell carcinoma and 4 cases of cystic renal cell carcinoma. Sixty-one cases were followed up for 12 to 110 months. The 5-year survival rates were 83.9% in stage Ⅰ, 78.9% in stage Ⅱ, 33.3% in stage Ⅲ, and 16.7% in stage Ⅳ. Conclusion Preoperative radical nephrectomy of renal artery embolization is a good way to ensure successful operation and good prognosis. Kidney surgery indications appropriate choice is an important prognostic factor.