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目的 :提高偶发性肾占位性病变的诊治水平。方法 :对 39例肾脏偶发占位性病变的诊治进行回顾性总结。结果 :B超检查发现 2 8例 ,CT检查发现 11例。肾癌 31例 ,高密度肾囊肿 5例 ,肾错构瘤 3例。肾癌术后死亡 1例 ,术后超过 5年生存者 18例。结论 :偶发性肾脏占位性病变定性不明者应在术中冰冻活检 ;偶发性肾癌病理分期低 ,肿瘤体积小 ,术后远期生存率高 ;早期得到诊治是偶发肾癌预后较好的主要原因。
Objective: To improve the diagnosis and treatment of occasional renal space-occupying lesions. Methods: The diagnosis and treatment of sporadic occupying lesions in 39 cases were retrospectively reviewed. Results: 28 cases were found by B-ultrasound and 11 cases by CT. 31 cases of renal cell carcinoma, 5 cases of high-density renal cysts and 3 cases of renal hamartoma. One patient died of renal cell carcinoma and 18 patients survived more than 5 years after operation. Conclusions: The unidentified patients with sporadic renal occupying lesions should undergo intraoperative frozen biopsy. The pathological staging of sporadic renal cell carcinoma is small, the tumor size is small, and the postoperative long-term survival rate is high. Early diagnosis and treatment are better prognosis for incidental renal cell carcinoma main reason.