【摘 要】
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We present our experience with the clinical feature, efficacy and outcome of radiofrequency (RFA) for renal tumor as a minimal invasive treatment in VGHKS A total of 36 patients in 12 years with renal
【机 构】
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Kaohsiung Veterans General Hospital,Kaohsiung
【出 处】
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第十三届亚洲泌尿外科学会年会(UAA2015)、第二十二届全国泌尿外科学术会议(CUA2015)、第十六届全军及武警泌尿
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We present our experience with the clinical feature, efficacy and outcome of radiofrequency (RFA) for renal tumor as a minimal invasive treatment in VGHKS A total of 36 patients in 12 years with renal tumor were enrolled.We use Preoperative Aspects and Dimensions Used for an Anatomical (PADUA) Classification for renal tumor classification and compared with clinical outcome (recurrence rate and time, survival), RFA procedure (RFA needle, No.of treatment, Anesthesia, complication), renal function deterioration after procedure and pathology report.We also use clustered needle or switch mode control of RFA and D5W instillation for separating bowel loop.The median value of the PADUA score was 7.5 (IQR: 7-9).All patients have been biopsy before RFA and 22 been proved RCC.The number of RFA needle treatment were significantly correlated to PADUA score.13 patients were under local anesthesia, the other were under IVGA by anesthesiologist.Only one patient presented mild pneumothorax after RFA without intervention treatment.Renal function deterioration after procedure did not reveal clinical significance.Tumor recurrence was recognized by CT scan in 3 patients during followup,who repeated RFA treatment without recurrence.
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