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目的 :探讨肾癌的诊断和治疗方法。方法 :回顾性分析 1996年 6月至 2 0 0 2年 6月我院88例肾癌的诊治过程及其预后情况。结果 :5 9例Ⅰ、Ⅱ、Ⅲ期肾癌根治性手术治疗 ,2 8例Ⅳ期生物治疗或化疗放疗 ,1例Ⅲ期介入栓塞治疗。随访 2月至 6年 ,Ⅰ期至今全部存活 ;Ⅱ期平均生存 2 .8年 ,Ⅲ期 16个月 ,Ⅳ期 3.6月。肾癌早期发现、早治疗可明显提高生存时间。结论 :医学影像学是肾癌的主要诊断方法 ,肾癌最有效的治疗手段是外科手术 ,生物治疗是晚期肾癌最佳方案。
Objective: To investigate the diagnosis and treatment of renal cell carcinoma. Methods: The diagnosis and treatment of 88 cases of renal cell carcinoma in our hospital from June 1996 to June 2002 were retrospectively analyzed. Results: Fifty-nine patients with stage I, II and III radical nephrectomy were treated with radical surgery, 28 cases with stage IV biotherapy or chemotherapy and one case with stage III interventional embolization. All the patients survived from stage Ⅰ till now, and were followed up for 2 months to 6 years. The average survival in stage Ⅱ was 2.8 years, stage Ⅲ was 16 months, and stage Ⅳ was 3.6 months. Early detection of renal cell carcinoma, early treatment can significantly improve survival time. Conclusion: Medical imaging is the main method of diagnosis of renal cell carcinoma. The most effective treatment for renal cell carcinoma is surgery. Biological therapy is the best option for advanced renal cell carcinoma.