本文選題：腎腫瘤 + 保留腎單位手術　； 參考：《福建醫(yī)科大學》2014年碩士論文

【摘要】：目的：探討R.E.N.A.L腎臟測量評分系統在施行保留腎單位手術的腎細胞癌患者中的臨床應用價值。 方法：回顧性分析2012年12月到2014年2月59例行保留腎單位手術的腎腫瘤患者的臨床資料，在納入研究的59例患者中，其中49例行后腹腔鏡保留腎單位腎部分切除術，10例行開放腎部分切除術，資料包括臨床一般特征，影像學檢查，手術情況及術后并發(fā)癥。依據CT或MRI影像學資料，應用R.E.N.A.L腎臟測量評分系統對每個腎臟腫瘤進行評分。分析該評分分值與手術方式、手術時間、腎動脈阻斷時間、出血量及手術前后血肌酐變化等圍手術期參數的相關性。 結果：R.E.N.A.L腎臟測量評分與手術方式有顯著相關，并與手術時間、腎動脈阻斷時間、出血量、手術前后血肌酐變化均顯著正相關，但與圍手術期并發(fā)癥、術后住院時間等無明顯相關。 結論：R.E.N.A.L腎臟測量評分系統能客觀地描述腎臟腫瘤特征，指導手術方式的選擇，并對圍手術期結局有一定的預測作用，但仍需進一步研究評價其臨床應用價值。
[Abstract]:Objective: to evaluate the clinical value of R.E.N.A.L renal scoring system in renal cell carcinoma patients undergoing nephron-sparing surgery. Methods: the clinical data of 59 renal tumor patients undergoing nephron-sparing surgery from December 2012 to February 2014 were retrospectively analyzed. There were 49 cases of retroperitoneal laparoscopic partial nephrectomy and 10 cases of open partial nephrectomy, including general clinical features, imaging examination, operation and postoperative complications. According to CT or MRI imaging data, each renal tumor was evaluated by R.E.N.A.L renal measurement scoring system. To analyze the correlation between the score and perioperative parameters, such as operation mode, operation time, renal artery occlusion time, blood loss and serum creatinine changes before and after operation. Results there was a significant correlation between the score of kidney measurement and the operative method, and the time of operation, the time of renal artery occlusion, the amount of blood loss, the change of serum creatinine before and after operation, but it was associated with perioperative complications. There was no significant correlation between postoperative hospitalization time and so on. Conclusion the kidney measurement score system can objectively describe the characteristics of renal tumors, guide the choice of surgical methods, and can predict the outcome of perioperative period, but it still needs further study to evaluate its clinical application value.
【學位授予單位】：福建醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R737.11

【參考文獻】

相關期刊論文 前2條

1 張中元;唐琦;李學松;吳靜云;楊學東;張曉春;王霄英;周利群;;R.E.N.A.L.腎腫瘤評分系統用于保留腎單位手術的臨床分析[J];北京大學學報(醫(yī)學版);2012年04期

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本文編號：1918484