摘要
目的：探讨基于CT的R.E.N.A.L.评分系统对于临床选择保留肾单位手术的指导意义。方法：选择我院2009年1月—2012年3月收治的126例行肾部分切除术的肾肿瘤患者进行病例回顾分析。收集患者相关临床及影像学资料。通过CT对患者术前肾肿瘤解剖学特征进行R.E.N.A.L.评分。分析R.E.N.A.L.系统评分与患者一般情况，手术方式、手术时间、肾脏缺血时间及术中输血率等围手术期相关因素和术后并发症、住院时间、肿瘤病理结果等的相关性。结果：R.E.N.A.L.评分在手术方式、肾脏缺血时间、术中输血率、术后并发症、肿瘤病理分期上存在统计学差异（P=0.002，P=0.016，P=0.003，P=0.002，P=0.000），其余无统计学意义（P＞0.05）。结论：R.E.N.A.L.肾肿瘤评分系统能够指导临床术前制定合理的手术方案，并预测围手术期并发症情况。
Abstract
Objective: To explore the clinical application value of R.E.N.A.L. nephrometry score based on CT for renal neoplasms in patients undergoing nephron sparing surgery(NSS). Methods: 126 cases with renal neoplasms undergoing NSS in our hospital from January 2009 to March 2012 were selected and their medical records were retrospectively analysed. All patients received plain and enhanced CT scan. The anatomical characteristics of the tumor were graded by R.E.N.A.L. score system. The general conditions, perioperative variables and complications, operation approach, postoperative complications as well as R.E.N.A.L. score were compared. Results: The R.E.N.A.L. score was significantly associated with the operation approach, ischemia time, intraoperative blood transfusion, postoperative complications and the pathological stage of the malignant tumor(P=0.002, P=0.016, P=0.003, P=0.002, P=0.000). Conclusions: The R.E.N.A.L. nephrometry score can help to make surgery strategies and predict perioperative complications.
关键词
肾肿瘤 /
肾切除术 /
体层摄影术 /
螺旋计算机
Key words
Kidney neoplasms /
Nephrectomy /
Tomography /
spiral computed
时 代;张雪宁;龚建平;吴梦琳;魏 璐;郭 琪;郑晶晶.
基于CT的R.E.N.A.L.肾肿瘤评分对保留肾单位手术的意义分析[J]. 中国临床医学影像杂志. 2015, 26(3): 188-191
SHI Dai;ZHANG Xue-ning;GONG Jian-ping;WU Meng-lin;WEI Lu;GUO Qi;ZHENG Jing-jing.
The application value of R.E.N.A.L. nephrometry score based on CT forrenal neoplasms undergoing nephron sparing surgery[J]. Journal of China Clinic Medical Imaging. 2015, 26(3): 188-191
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