Division of Endourology, Laparoscopy and Minimally Invasive Surgery, Department of Urology, Jackson Memorial Hospital, University of Miami School of Medicine, Miami, FL, USA.
Ther Adv Urol. 2010 Apr;2(2):51-68. doi: 10.1177/1756287210366708.
Owing to an increased use of diagnostic imaging for evaluating patients with other abdominal conditions, incidentally discovered kidney masses now account for a majority of renal tumors. Renal ablative therapy is assuming a more important role in patients with borderline renal impairment. Renal ablation uses heat or cold to bring about cell death. Radiofrequency ablation and cryoablation are two such procedures, and 5-year results are now emerging from both modalities. Renal biopsy at the time of ablation is extremely important in order to establish tissue diagnosis. Real-time temperature monitoring at the time of radiofrequency ablation is very useful to ensure adequacy of ablation.
由于诊断成像在评估其他腹部疾病患者中的应用增加，偶然发现的肾脏肿块现在占肾脏肿瘤的大多数。在有边缘性肾功能不全的患者中，肾消融治疗的作用越来越重要。肾消融使用热或冷来导致细胞死亡。射频消融和冷冻消融是两种这样的程序，这两种方法的 5 年结果现在都已出现。在消融时进行肾活检对于确定组织诊断非常重要。在射频消融时进行实时温度监测对于确保消融的充分性非常有用。
