CAJ | 학술논문

目的评价根治术前化疗栓塞対肾癌预后的影响.方法对36例经术后病理证实并获随访的肾癌患者临床资料进行回顾性分析,分A,B两组,肾癌根治术前化疗栓塞组26例(A)组,单纯根治数组10例(B)组.A组经身动脉灌注化疗药物后,用碘油和化疗药物混合剂行末梢血管栓塞,用明胶海绵进行中心性栓塞,化疗栓塞后3-5d行患肾根治术性切除.结果 A组术中出血量150~400ml,平均220ml；少于B组.A组1、3、5年生存率分别为86.6%、72.7%、58.1%,两组比较,差别均有显著性意义(P<0.05).Cox模型分析表明,根治术前化疗栓塞是影响肾癌预后的独立因素.结论肾癌根治术前化疗栓塞安全有效,对肾癌的治疗有积极意义.
목적평개근치술전화료전새대신암예후적영향.방법대36례경술후병리증실병획수방적신암환자림상자료진행회고성분석,분A,B량조,신암근치술전화료전새조26례(A)조,단순근치수조10례(B)조.A조경신동맥관주화료약물후,용전유화화료약물혼합제행말소혈관전새,용명효해면진행중심성전새,화료전새후3-5d행환신근치술성절제.결과 A조술중출혈량150~400ml,평균220ml；소우B조.A조1、3、5년생존솔분별위86.6%、72.7%、58.1%,량조비교,차별균유현저성의의(P<0.05).Cox모형분석표명,근치술전화료전새시영향신암예후적독립인소.결론신암근치술전화료전새안전유효,대신암적치료유적겁의의.
Objectve TO elaluate the prognostic.efficacy of preoperative transartetial chemo-emblization for renal cell carcainoma Methods A total of 36 cases of renal cell carcinoma confirmed by operation and pathology were retrospective studied,26 cases were allotted to preoperative chemo-embotization and 10 cases by operation alone. Preperative transart chemo-embolizotion was perfomed by infusing anticaner frugs, followed by emnuslsion of iodized ail and anticancer drugs for peripneral vessels embolization and then by infeeting gelation sponger into the renal artery.Surgery was perfrmed within 3~5days after after transrterial chemo-embolization,Results Preoperative transarterial chemo-embolization made vesection easier.The1,3,5year survival of chemo- embolization was an independent factor affecting the long term the fascting the long term survival rate of renal cell carcinoma.Conclusion Preoperative transartial chemo-embotization is a safe and effective method in the treatment of renal cell carcinoma.