目的探讨肾细胞癌的诊断及治疗方法。方法回顾性分析182例肾细胞癌患者的临床资料。结果全部病例术前均行B超及CT检查,38例行MRI检查;根治性肾切除术108例,单纯肾切除术37例,肾部分切除术或肿瘤剜除术12例,腹腔镜下肾切除术5例,腹腔镜下肾部分切除术2例,术中探查肿瘤无法切除7例,各种原因未手术者11例;病理结果:手术切除的171例中透明细胞癌119例(69.6%),颗粒细胞癌32例(18.7%),混合细胞型癌16(9.4%),梭例形细胞癌4(2.3%);本例组182例中135(74.2%)获例得随访,年3、5年生存率分别为85.4%(53/62)、61.9%(13/21)。结论影像学检查对于早期发现肾细胞癌具有重要意义;早期发现、早期行肾癌根治术是提高肾细胞癌生存率的关键。 Objective To investigate the diagnosis and treatment of renal cell carcinoma. Methods Retrospective analysis of 182 cases of renal cell carcinoma in patients with clinical data. Results All patients underwent preoperative B-mode ultrasonography and computed tomography (CT) and 38 underwent MRI examination. Radical nephrectomy was performed in 108 cases, simple nephrectomy in 37 cases, partial nephrectomy or tumor excision in 12 cases, laparoscopic nephrectomy 5 cases of resection, 2 cases of laparoscopic partial nephrectomy, 7 cases of intraoperative exploration of unresectable tumor, 11 cases of non-operation for various reasons; Pathological results: 119 cases of clear cell carcinoma (69.6% ), 32 cases of granulosa cell carcinoma (18.7%), 16 (9.4%) of mixed cell carcinomas and 4 (2.3%) cases of shuttle caseal squamous cell carcinomas. Of the 182 cases in this group, 135 (74.2% The 3-year and 5-year survival rates were 85.4% (53/62) and 61.9% (13/21), respectively. Conclusion Imaging examination is of great significance for the early detection of renal cell carcinoma. Early detection of radical resection of renal cell carcinoma is the key to improve the survival rate of renal cell carcinoma.