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目的分析腹腔镜下微波消融辅助治疗小肾癌的临床治疗效果。方法回顾性分析应用腹腔镜下微波消融辅助治疗的20例小肾癌患者的临床资料,肿瘤≤3 cm的患者直接行微波消融,肿瘤>3 cm的患者在肿瘤周围行微波消融,再行切除术,观察患者的临床治疗效果。结果 20例患者经过手术治疗后,均获取成功,所有患者肿瘤边缘病理检查均未发现瘤细胞,患者的平均手术时间(101.5±14.3)min、平均术中出血量(70.6±2.38)ml、平均住院时间(5.7±1.3)d,20例患者有3例出现并发症,其中1例发热、2例出血,经过对症治疗后均缓解,并发症的发生率为15%。治疗后,患者的血红蛋白、肌酐变化不大,治疗前后比较,差异无统计学意义(P>0.05)。结论腹腔镜下微波消融辅助治疗小肾癌治疗效果好,手术时间短,术中出血量少,平均住院时间短,对血红蛋白和肌酐等相关指标影响不大,具有临床应用价值。
Objective To analyze the clinical effect of laparoscopic microwave ablation in the treatment of small renal cell carcinoma. Methods The clinical data of 20 patients with small renal cell carcinoma treated with laparoscopic microwave ablation were analyzed retrospectively. The patients with tumor less than 3 cm underwent microwave ablation directly and the tumor> 3 cm underwent microwave ablation around the tumor, Surgery, observe the clinical effect of the patient. Results Twenty patients were successfully treated after surgery. All patients had no tumor cells detected by pathological examination. The average operation time was (101.5 ± 14.3) min and the average blood loss was (70.6 ± 2.38) ml, with an average of The length of hospital stay was (5.7 ± 1.3) days. Complications were found in 3 of 20 patients, including 1 fever and 2 hemorrhages. After symptomatic treatment, the complication rate was 15%. After treatment, the patient’s hemoglobin, creatinine did not change much before and after treatment, the difference was not statistically significant (P> 0.05). Conclusions Laparoscopic microwave ablation assisted therapy for small renal cell carcinoma has good curative effect, short operative time, less intraoperative blood loss and shorter average length of hospital stay. It has little effect on relevant indexes such as hemoglobin and creatinine, and has clinical value.