CAJ | 학술논문

目的：探讨肾癌患者临床有效的诊断和治疗方法。方法：选取2012年1月-2014年3月笔者所在医院收治的80例肾癌患者为研究对象，两组患者均行多层螺旋CT扫描诊断。将所有患者按照随机数字表法分成试验组与对照组，每组40例。根据诊断结果，对照组患者行传统开放性手术治疗，试验组患者实施腹腔镜肾癌根治术治疗，比较两组患者的临床疗效。结果：(1)肾癌患者CT检查分期与病理分期结果密切相关，差异有统计学意义(P<0.05)；(2)试验组患者出血量、住院时间、并发症发生率以及镇痛剂使用情况均较对照组有显著性降低，两组比较差异均有统计学意义(P<0.05)。结论：多层螺旋CT扫描诊断用于肾癌的临床诊断可以很好的显示肿瘤的病理类型和内部结构，影像学特征良好，提高了肾癌诊断的准确性。根据诊断结果实施腹腔镜肾癌根治术治疗在保证患者临床疗效的同时，具有创伤小、恢复快、并发症少等优点，减轻了患者手术的痛苦，对于患者的治疗和康复具有重要意义。
목적：탐토신암환자림상유효적진단화치료방법。방법：선취2012년1월-2014년3월필자소재의원수치적80례신암환자위연구대상，량조환자균행다층라선CT소묘진단。장소유환자안조수궤수자표법분성시험조여대조조，매조40례。근거진단결과，대조조환자행전통개방성수술치료，시험조환자실시복강경신암근치술치료，비교량조환자적림상료효。결과：(1)신암환자CT검사분기여병리분기결과밀절상관，차이유통계학의의(P<0.05)；(2)시험조환자출혈량、주원시간、병발증발생솔이급진통제사용정황균교대조조유현저성강저，량조비교차이균유통계학의의(P<0.05)。결론：다층라선CT소묘진단용우신암적림상진단가이흔호적현시종류적병리류형화내부결구，영상학특정량호，제고료신암진단적준학성。근거진단결과실시복강경신암근치술치료재보증환자림상료효적동시，구유창상소、회복쾌、병발증소등우점，감경료환자수술적통고，대우환자적치료화강복구유중요의의。
Objective:To investigate the effective clinical diagnosis and treatment method in patients with kidney cancer.Method:80 cases of kidney cancer patients seleted for the study in our hospital from January 2012 to March 2014 were underwent multislice spiral CT scan diagnosis. All patients were randomly divided into two groups,the experimental group and the control group,40 cases in each group. Based on the diagnosis results,patients in the control group were underwent the traditional open surgery,while patients in the experimental group were treated with laparoscopic radical nephrectomy. The clinical efficacy was compared between the two groups of patients.Result:Staging CT examination results of kidney cancer was closely associated with pathological stage,the difference was statistically significant(P<0.05). Bleeding,hospital stay,complication rates,and the use of analgesics of patients in the experimental group were significantly lower compared with control group,the difference was statistically significant(P<0.05).Conclusion:Spiral CT scan used to diagnose renal cell carcinoma can be a good display pathological type and internal structure,excellent imaging characteristics and improve the accuracy of diagnosis of renal cell carcinoma. According to the results of the diagnostic,patients treated with laparoscopic radical nephrectomy can ensure the clinical efficacy with less trauma,quicker recovery,fewer complications,which alleviate the suffering of patients and is important for the treatment and rehabilitation of patients.