四川医学2018，Vol.39Issue(2)：161-164,4.DOI:10.16252/j.cnki.issn1004-0501-2018.02.014
肾癌骨转移术前栓塞治疗效果分析
Analysis of the Effect of Preoperative Embolization for Renal Carcinoma with Bone Metastases
马志伟 1任泽杰 2邱明星1
作者信息
- 1. 四川省人民医院,四川 成都610072
- 2. 成都市温江区人民医院,四川 成都611130
- 折叠
摘要
Abstract
Objective To analyze the operative hemorrhagic volume,operative time and survival rate of patients with pre-operative embolization,and to discuss the surgical treatment effect of preoperative embolization on bone metastasis of renal cancer. Methods The clinical data of 132 patients with metastatic renal carcinoma were retrospectively studied,of which 41 were treated with embolization before operation.The primary analysis results were intraoperative blood volume,procedural time,and patient sur-vival rate.At the same time,the related factors affecting the operation time and survival were obtained.Results There was no sig-nificant difference in the effect of preoperative embolization of non spinal metastasis on the loss of blood volume in the operation. The location of metastatic tumour in pelvic cavity and the size of tumor were closely related to the amount of intraoperative bleed-ing,and the size of tumor was an independent factor of intraoperative blood loss.In the treatment of non spinal metastasis of renal cancer,especially in the case of an isolated lesion,marginal resection is the gold standard and can improve the overall survival rate;At the same time,there was a significant impact on the survival rate of patients with peripheral resection and intra-lesion resection and renal resection.Conclusion When bone metastases of renal cell carcinoma are located in the pelvic cavity and isolated,pre-operative embolization is beneficial to the patients and can reduce the amount of intraoperative bleeding;Marginal resection can im-prove the overall survival rate of the patients.关键词
肾癌/骨转移/栓塞治疗/边缘切除术Key words
renal carcinoma/bone metastasis/embolization/marginal resection分类
医药卫生引用本文复制引用
马志伟,任泽杰,邱明星..肾癌骨转移术前栓塞治疗效果分析[J].四川医学,2018,39(2):161-164,4.
