Kavoussi Nicholas, Canvasser Noah, Caddedu Jeffrey
Department of Urology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, 75390-9110, USA.
Curr Urol Rep. 2016 Aug;17(8):59. doi: 10.1007/s11934-016-0611-5.
The widespread utilization of abdominal imaging has led to an increase in incidentally detected small renal masses. Although partial nephrectomy is still considered the gold standard treatment for these masses, there are risks associated with surgical excision, potentially limiting treatment for older patients with multiple comorbidities. A variety of ablative techniques have developed over the past several decades, altering the management of small renal masses. It is likely that improvements in technology will only broaden the applications of ablative therapy. This article provides an update on the various ablative techniques and outcomes.
腹部成像技术的广泛应用导致偶然发现的小肾肿块数量增加。尽管部分肾切除术仍被认为是这些肿块的金标准治疗方法，但手术切除存在风险，这可能会限制对患有多种合并症的老年患者的治疗。在过去几十年中，已经开发出了多种消融技术，改变了小肾肿块的治疗方式。技术的进步很可能只会扩大消融治疗的应用范围。本文提供了各种消融技术及其结果的最新情况。
