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目的探讨保留肾脏的肾癌切除术的临床价值。方法回顾性分析126例肾癌患者的临床资料,对其临床症状,肿瘤大小、部位,病理分型、分级及分期,结合有关文献进行讨论,其中9例肾癌肿瘤直径小于5cm,行肾部分切除术经随访疗效满意。结论双侧肾癌、孤立肾肾癌、一侧肾癌对侧肾可能有功能不全的隐患及对侧肾正常的早期局限性小肾癌,可行保留肾脏的肾部分切除术。
Objective To investigate the clinical value of kidney neoplasm resection. Methods The clinical data of 126 patients with renal cell carcinoma were retrospectively analyzed. The clinical symptoms, tumor size, location, pathological classification, grading and staging of the patients with renal cell carcinoma were retrospectively analyzed. Nine cases with renal cell carcinoma were less than 5 cm in diameter, Excision was satisfactory after follow-up. Conclusion Bilateral renal cell carcinoma, isolated renal cell carcinoma, contralateral kidney of one renal cell carcinoma may have hidden insufficiency and small renal cell carcinoma of the early contralateral kidney with normal contralateral kidney. It is feasible to retain the partial renal nephrectomy.