R.E.N.A.L.肾脏测量评分系统在保留肾单位肾部分切除术患者中的应用

发布时间：2018-05-21 08:32

本文选题：肾肿瘤 + 保留肾单位手术　；参考：《福建医科大学》2014年硕士论文

【摘要】：目的：探讨R.E.N.A.L肾脏测量评分系统在施行保留肾单位手术的肾细胞癌患者中的临床应用价值。方法：回顾性分析2012年12月到2014年2月59例行保留肾单位手术的肾肿瘤患者的临床资料，在纳入研究的59例患者中，其中49例行后腹腔镜保留肾单位肾部分切除术，10例行开放肾部分切除术，资料包括临床一般特征，影像学检查，手术情况及术后并发症。依据CT或MRI影像学资料，应用R.E.N.A.L肾脏测量评分系统对每个肾脏肿瘤进行评分。分析该评分分值与手术方式、手术时间、肾动脉阻断时间、出血量及手术前后血肌酐变化等围手术期参数的相关性。结果：R.E.N.A.L肾脏测量评分与手术方式有显著相关，并与手术时间、肾动脉阻断时间、出血量、手术前后血肌酐变化均显著正相关，但与围手术期并发症、术后住院时间等无明显相关。结论：R.E.N.A.L肾脏测量评分系统能客观地描述肾脏肿瘤特征，指导手术方式的选择，并对围手术期结局有一定的预测作用，但仍需进一步研究评价其临床应用价值。
[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.
【学位授予单位】：福建医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R737.11

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