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目的探讨对不同类型肾静脉及下腔静脉癌栓的最佳处理方法。方法 8例不同类型的肾静脉及下腔静脉癌栓 ,采用下腔静脉不完全阻断法 2例、体外循环法 2例、下腔静脉 -右心房 (或下腔静脉 )转流法 4例 ,摘取肾静脉及下腔静脉癌栓。结果 8例均顺利切除患肾 ,取出瘤栓 ,术后恢复良好 ;切口一期愈合 ,未出现手术并发症。结论下腔静脉 -右心房 (或下腔静脉 )转流法完全阻断下腔静脉摘取较长的瘤栓 ,具有操作简单 ,回心血流量较大 ,不需特殊设备 ,术后并发症较少之优点。
Objective To explore the best treatment of different types of renal vein and inferior vena cava tumor thrombus. Methods 8 cases of different types of renal vein and inferior vena cava tumor thrombus were treated with incomplete inferior vena cava in 2 cases, extracorporeal circulation in 2 cases, inferior vena cava - right atrium (or inferior vena cava) in 4 cases , Remove the renal vein and inferior vena cava tumor thrombus. Results All patients were successfully removed the kidney, removed the tumor suppository, and recovered well. The incision was healed one time without any surgical complications. Conclusion The inferior vena cava - right atrium (or inferior vena cava) bypass method completely obstructs the inferior vena cava to remove the longer tumor suppository, which has the advantages of simple operation, greater blood flow back to the heart, no special equipment, and postoperative complications Less advantages.