摘要
目的 观察肾癌根治性切除加瘤栓取出术治疗肾癌合并静脉瘤栓的效果。 方法 总结 8例肾脏恶性肿瘤合并静脉瘤栓患者的临床及病理资料。男 7例 ,女 1例。平均年龄 5 8岁。右侧7例 ,左侧 1例。Robson分期Ⅲ期 5例 ,Ⅳ期 3例。瘤栓类型 :肾静脉型 1例 ,肝下型 4例 ,肝上型 3例。 结果 7例患者行肾肿瘤根治性切除加瘤栓取出术 ,1例行右肾肿瘤及右肾上腺根治性切除术 ,腔静脉瘤栓放射治疗。 1例瘤栓达右心房者术中死亡。随访 7例 ,3例分别存活 2、4和 2 2个月 ,均死于远隔转移。 4例术后已随访 12、14、2 5和 4 7个月者现仍无瘤存活。 结论 肾肿瘤根治性切除加瘤栓取出术是治疗肾癌合并静脉瘤栓的有效方法。
Objective To observe the efficacy of radical nephrectomy plus embolectomy for the treatment of renal cell carcinoma with renal vein or inferior vena cava involvement. Methods Clinical and pathologic data of 8 patients with renal cell carcinoma extending into renal vein or inferior vena cava were summarized.The operative essentials were introduced,and survival periods were followed up. Results A total of 8 patients underwent radical nephrectomy plus embolectomy.One patient died during the operation after embolectomy with exhausted respiration and cardiovascular function.Three patients survived for 2,4 and 22 months respectively,but all died of distal metastasis later.Four patients were alive for 2,14,25 and 47 months respectively after operations till writing of this article. Conclusions Radical nephrectomy plus embolectomy is a valuable method for the treatment of renal cell carcinoma with renal vein or inferior vena cava involvement.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2003年第6期365-367,共3页
Chinese Journal of Urology
