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目的通过对不同时期双侧肾母细胞瘤(BilateralWilmsTumor,BWT)治疗方法的比较,分析BWT存活率提高的原因。方法将我院1960年～2003年收治的16例BWT以1991年为界分为两组,通过对术前、术后化疗的方法及手术方法改进的比较,分析BWT生存率提高的原因。结果1960～1991年6例患者,1例存活,生存率16.7%,1992年～2003年10例患者5例存活,生存率50.0%。结论通过对手术方法的改进及加强术前、术后化疗,可提高BWT生存率。
Objective To analyze the reasons for the increase of BWT survival rate by comparing the treatment of bilateral Wilms’ tumor (BWT) at different stages. Methods Sixteen patients with BWT who were treated in our hospital from 1960 to 2003 were divided into two groups by the year of 1991. By comparing the preoperative and postoperative chemotherapy and the improvement of operative methods, the reasons for the increase of BWT survival rate were analyzed. Results Six patients from 1960 to 1991 were alive and the survival rate was 16.7%. From 1992 to 2003, 5 of 10 patients survived and the survival rate was 50.0%. Conclusion Through the improvement of surgical methods and strengthening of preoperative and postoperative chemotherapy, can improve the survival rate of BWT.