保留肾单位手术及切缘阳性的研究进展

发布时间：2018-03-12 09:04

本文选题：保留肾单位手术　切入点：切缘阳性　出处：《重庆医科大学》2014年硕士论文　论文类型：学位论文

【摘要】：近年来，保留肾单位手术在肾肿瘤中的应用不断增多，且随着手术医生对保留肾单位手术越来越熟练，保留肾单位手术在肾肿瘤中的应用范围也在不断增宽，包括≥4cm的肾肿瘤。保留肾单位手术较根治性肾切除术降低了肾肿瘤患者术后并发慢性肾病及心血管疾病的风险，并且会提高生存期，，但保留肾单位手术可能会导致切缘阳性，切缘阳性对肿瘤复发率与存活率是否有影响尚存在争议。本文就关于保留肾单位手术及保留肾单位手术切缘阳性做一综述。
[Abstract]:In recent years, the application of nephron sparing surgery in renal neoplasms has been increasing, and as surgeons become more and more proficient in nephron sparing surgery, the scope of application of nephron sparing surgery in renal tumors is also increasing. Nephron-sparing surgery reduced the risk of chronic nephropathy and cardiovascular disease in patients with renal neoplasms compared with radical nephrectomy, and increased survival, but nephron-sparing surgery may lead to positive margins. The effect of positive margin on tumor recurrence rate and survival rate is still controversial. This article reviews the positive rate of resection margin in nephron sparing surgery and nephron sparing surgery.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R699.2

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