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目的 :探讨肾癌的诊断与治疗。方法 :对 1989～ 2 0 0 0年收治的肾癌 6 0例 ,结合文献对肾癌的发病、诊断和治疗方法作了分析 ,并讨论了影响肾癌预后的诸因素。结果 :6 0例B超检查 ,正确率达 93.3% ;6 0例CT检查 ,诊断正确率 10 0 % ;12例肾动脉造影 ,诊断正确率 10 0 %。 6 0例术后病理诊断 ,透明细胞癌 38例 ,颗粒细胞癌 16例 ,混合细胞癌 4例 ,梭形细胞癌 1例 ,未分化癌 1例。单纯肾切除 6例 ,部分肾切除 1例 ,根治性肾切除 5 1例 ,无法手术仅取活检 2例。 6 0例中获随访 4 0例 ,1年存活率 87.5 % ,3年存活率 6 0 % ,5年存活率33.3%。结论 :强调早期诊断和早期行肾癌根治术的意义。
Objective: To investigate the diagnosis and treatment of renal cell carcinoma. Methods: Sixty patients with renal cell carcinoma who were treated from 1989 to 2000 were analyzed with the literature on the pathogenesis, diagnosis and treatment of renal cell carcinoma. The factors affecting the prognosis of renal cell carcinoma were discussed. Results: 60 cases of B ultrasound, the correct rate of 93.3%; 60 cases of CT examination, the diagnostic accuracy rate of 10%; 12 cases of renal artery angiography, the diagnostic accuracy rate of 10%. There were 38 cases of clear cell carcinoma, 16 cases of granulosa cell carcinoma, 4 cases of mixed cell carcinoma, 1 case of spindle cell carcinoma and 1 case of undifferentiated carcinoma. Simple nephrectomy in 6 cases, partial nephrectomy in 1 case, radical nephrectomy in 51 cases, no surgery only biopsy in 2 cases. 60 cases were followed up 40 cases, 1-year survival rate of 87.5%, 3-year survival rate of 60%, 5-year survival rate of 33.3%. Conclusion: It emphasizes the significance of early diagnosis and early radical nephrectomy.