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目的对比研究保留肾单位手术与根治性肾切除术治疗肾癌的临床效果。方法回顾性分析68例肾癌患者临床资料,按治疗方法分为研究组(34例)和对照组(34例),研究组采用保留肾单位手术治疗,对照组采用根治性肾切除术治疗,对比观察两组患者临床治疗效果。结果研究组手术时间、术中出血量、术后引流量与对照组对比,差异无统计学意义(P>0.05);两组血肌酐一过性升高率、生存率对比,差异具有统计学意义(P<0.05)。结论采用保留肾单位手术治疗肾癌临床效果显著,能彻底切除肿瘤,对患者肾功能影响小,是治疗肾癌的理想方法。
Objective To compare the clinical effects of preserving nephron surgery and radical nephrectomy on renal cell carcinoma. Methods The clinical data of 68 patients with renal cell carcinoma were retrospectively analyzed. According to the treatment methods, they were divided into study group (34 cases) and control group (34 cases). The study group was treated with retained nephron, while the control group with radical nephrectomy. The clinical effects of two groups were compared. Results There was no significant difference in operative time, intraoperative blood loss and postoperative drainage compared with the control group (P> 0.05). The two groups had a transient increase in serum creatinine and survival rate, the difference was statistically significant Significance (P <0.05). Conclusion It is an ideal method to treat renal cell carcinoma by using nephron-retained surgery to treat renal cell carcinoma. The clinical effect is obvious. It can completely remove the tumor and has little effect on renal function.