CAJ | 학술논문

目的：探讨不同栓塞方法对肾癌外科根治性切除术前经动脉插管栓塞的临床价值。方法回顾性分析经手术病理证实的肾癌患者43例,分为 A 组(同时成功栓塞患侧肾动脉及肾包膜动脉、肾上腺动脉)、B 组(仅栓塞患侧肾动脉)、C 组(直接行外科根治性切除)。比较3组患者的手术时间、手术难易程度、术中出血量、病灶切除成功率、术后生存率。结果A、B 组与 C 组比较其手术时间、手术难易程度、术中出血量度、病灶切除成功率及术后生存率差异均有统计学意义(P <0.01),A、B 两组间比较除病灶切除成功率外其余指标差异有统计学意义(P <0.01)。结论肾癌外科根治性切除术前辅助性动脉栓塞治疗效果好,尤其以彻底栓塞病变侧肾动脉、包膜动脉等血供者效果更佳。
목적：탐토불동전새방법대신암외과근치성절제술전경동맥삽관전새적림상개치。방법회고성분석경수술병리증실적신암환자43례,분위 A 조(동시성공전새환측신동맥급신포막동맥、신상선동맥)、B 조(부전새환측신동맥)、C 조(직접행외과근치성절제)。비교3조환자적수술시간、수술난역정도、술중출혈량、병조절제성공솔、술후생존솔。결과A、B 조여 C 조비교기수술시간、수술난역정도、술중출혈량도、병조절제성공솔급술후생존솔차이균유통계학의의(P <0.01),A、B 량조간비교제병조절제성공솔외기여지표차이유통계학의의(P <0.01)。결론신암외과근치성절제술전보조성동맥전새치료효과호,우기이철저전새병변측신동맥、포막동맥등혈공자효과경가。
Objective To explore the clinical value of different transcatheter arterial embolization methods for renal carcino-ma before radical nephrectomy.Methods The related data of 43 patients with renal carcinoma who were confirmed by surgical pa-thology were retrospectively analyzed.Renal artery,renal capsular artery and adrenal artery of lesion side kidney were super-selec-tive embolized before surgery was set as group A,while Lesion side renal artery embolized was set as group B.Direct surgical radical nephrectomy was set as group C.The related data of operation time,ease or complexity of operation,intraoperative blood loss,suc-cess rate of lesion resection and postoperative survival rate were analyzed and compared in the three groups with statistical meth-ods.Results There were significant differences among the three groups in the average operation time,ease or complexity of opera-tion,intraoperative blood loss,success rate of lesion resection and postoperative survival rate (P < 0.01 ).There were significant differences between group A and B about all indexes except success rate of lesion resection(P <0.01).Conclusion The cases with additional transcatheter arterial embolization before radical nephrectomy improved obviously,especially in the cases who underwent completely embolization of lesion side renal artery and renal capsular artery.