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Safety and effectiveness of percutaneous radiofrequency ablation in early stage renal cell carcinoma

机译:经皮射频消融治疗早期肾细胞癌的安全性和有效性

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摘要

The purpose of this study was to analyze the safety and effectiveness of percutaneous radiofrequency ablation (RFA) in early stage renal cell carcinoma. A total of 76 patients suffering from early stage renal cell carcinoma were selected and randomly assigned into the observation group (41 cases) or the control group (35 cases). Percutaneous RFA was used in the observation group, while retroperitoneoscopic radical operation of renal cell carcinoma was used in the control group, and the operative effects were compared. In the observation group, operation time, blood loss during operation, length of stay and incidence rate of complications were lower than those in control group (P<0.05). For both groups, serum C-reactive protein, interleukin-6 and T lymphocyte counts at 1, 2 and 3 days after operation were all increased; however, the control group had significantly greater increase for all the time points (P<0.05). For total effective rates, tumour-free survival times and survival rates, there were no statistically significant differences between the two groups (P>0.05). Percutaneous RFA has a reduced size of operation wound and a quick postoperative recovery time in the treatment of early stage renal cell carcinoma. It results in less inflammation and immunity-based injuries in the body and achieves the same clinical outcomes as retroperitoneoscopic radical operation of renal cell carcinoma.
机译:本研究的目的是分析经皮射频消融(RFA)在早期肾细胞癌中的安全性和有效性。选择76例早期肾细胞癌患者,随机分为观察组(41例)或对照组(35例)。观察组采用经皮射频消融术,对照组采用腹腔镜肾癌根治术后根治术,比较手术效果。观察组手术时间,术中失血量,住院时间及并发症发生率均低于对照组(P <0.05)。两组患者术后1、2和3天的血清C反应蛋白,白细胞介素6和T淋巴细胞计数均升高。然而,对照组在所有时间点都有明显的增加(P <0.05)。对于总有效率,无肿瘤生存时间和生存率,两组之间无统计学差异(P> 0.05)。经皮RFA在早期肾细胞癌的治疗中具有减小手术伤口的大小和缩短术后恢复时间的优点。它可减少体内炎症和免疫力损伤,并获得与腹膜后肾癌根治术相同的临床结果。

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