Liu Hang, Gao Changzhong, Yu Hualong
Department of Interventional Therapy, Yidu Central Hospital of Weifang, Qingzhou, Shandong 262500, P.R. China.
Department of Radiology, Yidu Central Hospital of Weifang, Qingzhou, Shandong 262500, P.R. China.
Oncol Lett. 2016 Dec;12(6):4618-4622. doi: 10.3892/ol.2016.5267. Epub 2016 Oct 14.
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.
本研究旨在分析经皮射频消融术(RFA)治疗早期肾细胞癌的安全性和有效性。共选取76例早期肾细胞癌患者,随机分为观察组(41例)和对照组(35例)。观察组采用经皮RFA治疗,对照组采用后腹腔镜肾癌根治术,比较两组手术效果。观察组手术时间、术中出血量、住院时间及并发症发生率均低于对照组(P<0.05)。两组术后1、2、3天血清C反应蛋白、白细胞介素-6及T淋巴细胞计数均升高;但对照组各时间点升高幅度均显著大于观察组(P<0.05)。两组总有效率、无瘤生存时间及生存率比较,差异无统计学意义(P>0.05)。经皮RFA治疗早期肾细胞癌手术创伤小,术后恢复快,机体炎症及免疫损伤小,临床效果与后腹腔镜肾癌根治术相当。