肾肿瘤治疗方法待变更
Report Suggests Changing Kidney Tumor Treatment
报告建议变更肾肿瘤治疗方法
For more than 40 y undergoing the radical procedure, and 20 percent for those who had only the partial nephrectomy.
经过平衡年龄、肾功能、糖尿病、高血压和其他的一些因素,他们发觉,在3年存续期中采纳完全切除法的患者起先患慢性肾病的比例为65%,而采纳局部切除法的只有20%。
“Even in those having partial nephrectomies, there's a continued diminution in kidney function,”said Dr. Paul Russo, the senior author of the paper,“but much less than in those who have the radical operation.”If kidney function deteriorates so that dialysis becomes necessary, he said,“you've got about a 50 percent chance of three-year survival-much worse than with cancer.”
“即便是采纳了局部切除法,患者的肾功能都会持续的减弱,”论文的高级作者保罗·鲁索博士说,“但是这要比采纳完全切除法的好的多。”假如肾功能恶化,就有必要对此进展分析,他说,“你会有大约50%的几率活过3年,这比癌症要状况要糟得多。”
One reason for the radical procedure, the researchers say, may be that a partial nephrectomy is a technically more difficult operation. Yet the frequency of complications in the two operations was no different in their study. The report appears in the September issue of The Lancet Oncology.
探究人员说,采纳完全切除的一个缘由可能是局部切除在技术上更加困难。但是,调查显示,因为手术产生的并发症两者却没有什么区分。报告登载在柳叶刀肿瘤学9月号上。
Dr. Russo, a professor of urology at Memorial Sloan-Kettering Cancer Center in N
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