肾癌下腔静脉癌栓的诊治及预后(附12例报告)

来源 :福州总医院学报 | 被引量 : 0次 | 上传用户:w3cnet
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的:提高肾癌下腔静脉癌栓的诊治水平。方法:回顾分析12例经手术及病理证实的肾癌下腔静脉癌栓患者的资料。结果:12例腔静脉癌栓均为膈下型,其中肾静脉型1例(8.3%),肝下型9例(75%),肝内型2例 (16.7%),无膈上型。彩超诊断腔静脉癌栓的准确率为66.7%(8/12),假阴性16.7%(2/12)。CT准确率83.3%(10/ 12),假阴性16.7%(2/12)。MRI准确率100%。术后3例失访,4例死于全身衰竭和肝转移,平均存活时间22个月,余 5例均健在,存活时间6-38个月,未见肿瘤转移征象。结论:MRI和彩色多普勒超声是目前诊断肾细胞癌伴静脉癌栓的较好方法。对无淋巴结和远处转移者,应采取积极手术的态度,手术方式取决于癌栓水平。 Objective: To improve diagnosis and treatment of IVC tumor thrombus in patients with renal cell carcinoma. Methods: Retrospective analysis of 12 cases of renal cell carcinoma of the inferior vena cava tumor thrombosis confirmed by surgery and pathology. Results: All the 12 cases of vena cava tumor thrombus were subphypium type. Among them, 1 case had renal vein type (8.3%), 9 cases (75%) had hepatic vein type and 2 cases (16.7%) had intrahepatic type without phrenic type. The diagnostic accuracy of color Doppler ultrasound in the diagnosis of vena cava tumor thrombus was 66.7% (8/12) and false negative 16.7% (2/12). The accuracy rate of CT was 83.3% (10/12) and false negative 16.7% (2/12). MRI accuracy of 100%. Three patients were lost to follow-up, 4 died of systemic failure and liver metastasis. The average survival time was 22 months. The remaining 5 patients were alive and survived for 6 to 38 months. No signs of tumor metastasis were found. Conclusion: MRI and color Doppler ultrasound are the best methods for diagnosis of renal cell carcinoma with venous thrombosis. For non-lymph node and distant metastasis, should take a positive surgical attitude, surgical approach depends on the level of tumor thrombosis.
其他文献
主要介绍了一种利用冲床滑块的往复运动实现连续模自动送料的机构。 This paper mainly introduces a mechanism that uses the reciprocating motion of the punch slider
AIM:Intrahepatic extension is the main cause of liver failureand death in hepatocellular carcinoma patients.The smallGTPase Rho and one of its effector molecul
钛合金具有较高的室温和高温比强度、低密度、高弹性模量 ,加入高强度、高刚度的增强相可进一步提高其比弹性模量、比强度和抗蠕变能力 ,因此钛基复合材料 (TMCs)成为超高音
扎戈尔抽水蓄能电站的水泵—水轮机综合动能试验证明,其动力特性与计算特性相符,实际运行特性与计算特性的误差不超过1%。介绍该电站在水轮机的气蚀防护、导水装置和主轴的唇口型
由中华医学会老年医学分会老年消化病学组织的中华医学会第三届全国老年消化专业学术会议于 2 0 0 3年 9月16~ 18日在桂林市召开 ,与会代表 150人 ,来自全国 2 0余个省、市、
3月10日,中日室内对抗赛第3站在上海莘庄训练基地田径馆举行。中国队以145分比83分战胜日本队。 March 10, the third stop of the Sino-Japanese indoor competition held
约访梁晓声的电话刚一接通,就传来他略带兴奋的话音:“我要调到北京语言文化大学了,这回咱们可是一个系统了!”真是教育升温了,著名作家也昂首挺胸跨入大学校门,担起文学创作专职教
High static power limits the application of conventional current-mode logic(CML).This paper presents a power-efficient switchable CML driver,which achieves a si
作为一位著作与生平被北京中国现代文学馆“列为馆藏和研究对象”的现代文学家,他在四十年代后期的北京,是站在爱国民主运动前列勇敢战斗的青年诗人,曾编辑当年“平津诗歌联合会
<正> 陆费逵先生(1886—1941)生于陕西汉中府,原籍浙江桐乡县。幼靠母亲授读,熟习多种经典古籍。1903年春,在武昌组织“日知会”。第二年秋,与人创办新学界书店。1905年秋,任