论文部分内容阅读
1981年美国肾癌的新病例估计有17,000例,约有8,000人死于该病。平均年龄50~60岁,男女之比为2:1。在明确诊断的病人中几乎有30%的患者已有远部转移需要行全身性治疗。无转移者可经外科手术以获得治愈。 外科治疗: 〔根治性肾切除〕,1949年首次创用,所谓根治性肾切除就是首先控制肾蒂血管,在盖氏筋膜内切除肾脏。本法较单纯肾切除更能提高病人术后存活率,因在手术中发现大约45%病人已有癌肿侵犯肾周围组织,故肾癌行根治性肾切除术是符合逻辑
In 1981, an estimated 17,000 new cases of kidney cancer in the United States and about 8,000 people died of the disease. The average age of 50 to 60 years old, male to female ratio of 2: 1. Almost 30% of patients with well-defined diagnoses have had distant metastases requiring systemic treatment. No metastasis can be surgically cured. Surgical treatment: radical nephrectomy, first created in 1949, the so-called radical nephrectomy is the first control of the renal pedicle blood vessels, removal of the kidneys in the Gers fascia. This method is more than a simple nephrectomy can improve the survival rate of patients after surgery, because in the surgery found that about 45% of patients had cancer invasion of perineural tissue, so radical nephrectomy renal cell surgery is logical