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目的 减少肾癌根治术中出血 ,提高切除率及晚期肾癌患者的姑息治疗疗效。材料与方法 应用明胶海绵、碘化油等栓塞材料超选择肾动脉栓塞辅助治疗 19例肾癌。结果 栓塞后 72小时内行根治术者 15例 ,2例栓塞术前未能切除或放弃手术而栓塞后得以切除 ,另外 2例栓塞术后拒绝外科手术。术后 30天生存率 10 0 % ,1、3年生存率分别为 79%、5 7%。本组未见并发症。结论 肾动脉栓塞术治疗晚期肾癌安全有效 ,可用于肾癌术前的辅助治疗及肾癌晚期的姑息治疗。
Objective To reduce the bleeding during radical nephrectomy and improve the resection rate and palliative treatment in patients with advanced renal cell carcinoma. Materials and Methods 19 cases of renal cell carcinoma were treated with superselective renal artery embolization with embolization material such as gelatin sponge and iodized oil. Results In 72 hours after embolization, radical mastectomy was performed in 15 cases. Two cases failed to be resected or surgically removed before embolization and were resected after embolization. The other two patients refused surgery after embolization. The 30-day survival rate was 100% and the 1,3-year survival rates were 79% and 57%, respectively. No complications in this group. Conclusion Renal artery embolization is a safe and effective method for the treatment of advanced renal cell carcinoma. It can be used as adjuvant therapy for preoperative renal cell carcinoma and palliative treatment for advanced renal cell carcinoma.