本文選題：腎腫瘤 + 保留腎單位手術(shù)�。� 參考：《福建醫(yī)科大學(xué)》2014年碩士論文

【摘要】：目的：探討R.E.N.A.L腎臟測(cè)量評(píng)分系統(tǒng)在施行保留腎單位手術(shù)的腎細(xì)胞癌患者中的臨床應(yīng)用價(jià)值。 方法：回顧性分析2012年12月到2014年2月59例行保留腎單位手術(shù)的腎腫瘤患者的臨床資料，在納入研究的59例患者中，其中49例行后腹腔鏡保留腎單位腎部分切除術(shù)，10例行開放腎部分切除術(shù)，資料包括臨床一般特征，影像學(xué)檢查，手術(shù)情況及術(shù)后并發(fā)癥。依據(jù)CT或MRI影像學(xué)資料，應(yīng)用R.E.N.A.L腎臟測(cè)量評(píng)分系統(tǒng)對(duì)每個(gè)腎臟腫瘤進(jìn)行評(píng)分。分析該評(píng)分分值與手術(shù)方式、手術(shù)時(shí)間、腎動(dòng)脈阻斷時(shí)間、出血量及手術(shù)前后血肌酐變化等圍手術(shù)期參數(shù)的相關(guān)性。 結(jié)果：R.E.N.A.L腎臟測(cè)量評(píng)分與手術(shù)方式有顯著相關(guān)，并與手術(shù)時(shí)間、腎動(dòng)脈阻斷時(shí)間、出血量、手術(shù)前后血肌酐變化均顯著正相關(guān)，但與圍手術(shù)期并發(fā)癥、術(shù)后住院時(shí)間等無明顯相關(guān)。 結(jié)論：R.E.N.A.L腎臟測(cè)量評(píng)分系統(tǒng)能客觀地描述腎臟腫瘤特征，指導(dǎo)手術(shù)方式的選擇，并對(duì)圍手術(shù)期結(jié)局有一定的預(yù)測(cè)作用，但仍需進(jìn)一步研究評(píng)價(jià)其臨床應(yīng)用價(jià)值。
[Abstract]:Objective: to evaluate the clinical value of R.E.N.A.L renal scoring system in renal cell carcinoma patients undergoing nephron-sparing surgery. Methods: the clinical data of 59 renal tumor patients undergoing nephron-sparing surgery from December 2012 to February 2014 were retrospectively analyzed. There were 49 cases of retroperitoneal laparoscopic partial nephrectomy and 10 cases of open partial nephrectomy, including general clinical features, imaging examination, operation and postoperative complications. According to CT or MRI imaging data, each renal tumor was evaluated by R.E.N.A.L renal measurement scoring system. To analyze the correlation between the score and perioperative parameters, such as operation mode, operation time, renal artery occlusion time, blood loss and serum creatinine changes before and after operation. Results there was a significant correlation between the score of kidney measurement and the operative method, and the time of operation, the time of renal artery occlusion, the amount of blood loss, the change of serum creatinine before and after operation, but it was associated with perioperative complications. There was no significant correlation between postoperative hospitalization time and so on. Conclusion the kidney measurement score system can objectively describe the characteristics of renal tumors, guide the choice of surgical methods, and can predict the outcome of perioperative period, but it still needs further study to evaluate its clinical application value.
【學(xué)位授予單位】：福建醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R737.11

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相關(guān)期刊論文 前2條

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本文編號(hào)：1918484