Spectrum Health, 100 Michigan Street NE, Grand Rapids, MI 49503, USA.
Urol Clin North Am. 2012 May;39(2):191-8, vi. doi: 10.1016/j.ucl.2012.01.007. Epub 2012 Feb 15.
The National Kidney Foundation estimates that 26 million Americans are living with chronic kidney disease (CKD). The high prevalence of obesity, heart disease, hypertension, and diabetes places millions more at risk for developing CKD. Although long-term sufficient renal function is routine in screened kidney donors, CKD is present in more than 30% of patients with a newly diagnosed renal mass and develops in most patients who undergo radical nephrectomy and a portion of those who undergo nephron-sparing approaches. Herein, the authors review the effect of the surgical approach on renal function for patients presenting with a renal mass.
美国国家肾脏基金会估计，有 2600 万美国人患有慢性肾脏病（CKD）。肥胖症、心脏病、高血压和糖尿病的高发率使更多人面临患上 CKD 的风险。尽管接受筛选的肾脏捐赠者的长期肾功能正常，但新诊断出肾肿块的患者中超过 30%存在 CKD，大多数接受根治性肾切除术的患者以及部分接受肾部分切除术的患者中也会发展为 CKD。在此，作者回顾了手术方法对患有肾肿块的患者肾功能的影响。
