摘要
目的对26例中晚期肾癌术前肾动脉栓塞和治疗性栓塞技术的疗效进行评价并进行随访观察分析。方法 14例术前栓塞组采用明胶海绵颗粒与造影剂混合,进行经肾动脉化疗栓塞(TRCE),对其中11例手术肿块与病理切片进行回顾性研究。12例介入姑息治疗性栓塞组,采用50%无水乙醇-碘化油乳液及明胶海绵颗粒和鱼肝油酸钠与造影剂混合,进行TRCE。结果术前栓塞组手术所见与病理研究显示,肾动脉栓塞百分比与肿瘤坏死之间存在显著相关性,治疗性栓塞组使患者症状明显缓解,瘤体缩小。随访术前栓塞组1、2和3年生存率分别为63.6%、21.4%和9.0%,治疗性栓塞组1、2和3年生存率分别为33.3%、16.7%和0%。结论肾动脉栓塞有助于晚期肾癌手术切除,术前及治疗性栓塞可改善患者生存期,不能手术者可提高生存质量,栓塞对肾癌治疗有重要意义。
Objective To analyze the curative effect of medium term and terminal term renal carcinoma with the treatment of prior tO renal artery embolization and curing emholization. Methods Fourteen of the total 26 cases were marked off as ＂Prior to operation embolization＂ group who adopted TRCE with mixture of glutin sponge grain an contrast agent, the operation bump and pathologic slice were analyzed retrospectively for 11 cases of the 14. Another 12 case were marked off as ＂Appeasement curing embolization＂ group who adopted TRCE with 50 % absolute alcohol, phosphide oil liquid and glutin sponge, fish liver oil natrium and image building liquid. Results The result of the operation phenomenon and pathology study showed highly pertinency between renal artery emholization percentage and tumor necrosis in ＂Prior to operation embolization ＂group, and symptoms and signs of the patients were obviously better and the turnout size became much smaller in the group. The survival percentage of 1,2,3 years was 63.6 %, 21.40/4 , and 9.0 % in ＂Prior to operation embolization＂ group; while it was 33.3%, 16.7 and 0% in ＂Appeasement curing embolization＂ group. Conclusion Renal artery embolization is helpful to the terminal renal carcinoma operation cut -off; ＂Prior to operation＂ and ＂curing＂ embolization will improve the lifetime of patients and it will increase the life quality for the patients who cannot have an operation. In one word embolization shows mean ingful importance for renal carcinoma treatment.
出处
《中国煤炭工业医学杂志》
2013年第12期1938-1940,共3页
Chinese Journal of Coal Industry Medicine
关键词
肾癌
中晚期
栓塞
治疗性
介入性
随访
Renal carcinoma
Embolization
Therapeutic
Interventional
Evaluation study
Followed- up
