局部消融治疗肾脏肿瘤

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摘要近年来局部消融技术不断发展,已应用于治疗肾脏肿瘤。此方法具有可保留较多正常肾单位、操作相对简便、患者易耐受、住院时间短、恢复快、并发症少等优点。临床病例及随访资料显示局部消融治疗对不易耐受手术的肾脏肿瘤患者有效,且并发症较少,但肿瘤大小、位置、形状等都可能影响疗效。局部消融治疗肾脏肿瘤是一种新的可供选择的方法,但仍需进一步改进技术、提高仪器的引导与监视能力,提高术前及术中预测检查多中心病灶的能力,并进行大样本多中心长期研究。

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关键词 ：肾肿瘤, 微创, 微波消融, 射频消融

Abstract：With evolving local ablation technology, the clinical application of local ablation has been actively investigated in the treatment for renal cell carcinoma. Local ablation has several advantages, including keeping more normal renal units, relatively simple operation, easy tolerance, fewer complications, a shorter hospitalization and convalescence period. Long-term data has determined local ablation is reasonable for poor surgical candidates with renal cell carcinoma; however, tumor size, location and shape might affect the efficacy of ablation. Associated complications appear to be low. Local ablative approaches seem to represent an attractive alternative to extirpative surgery for the treatment of small renal neoplasms in select patients. Potential developments include concepts to improve the accuracy and effectiveness of ablation by improving the guiding, monitoring capabilities and detection capacity of multi-center lesions to provide at least equivalent cancer control to conventional surgery.

Key words： carcinoma renal cell surgical procedures minimally invasive microwave radiofrequency

收稿日期: 2012-06-29

ZTFLH:

R454

通讯作者: 梁萍,liangping301@yahoo.com.cn

引用本文:

冯冰, 梁萍. 局部消融治疗肾脏肿瘤[J]. 微创泌尿外科杂志, 2012, 1(1): 31-36.
Feng Bing, Liang Ping. Local ablation of renal cell carcinoma. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2012, 1(1): 31-36.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract960.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2012/V1/I1/31

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