Drainage of perirenal or renal tumors
Drainage around the kidney or kidney tumor is a surgical method that removes the cancerous kidney or kidney tissue and then indwells the drainage tube to observe the renal exudate trait, thereby judging the surgical effect and accelerating wound healing. Treatment of diseases: kidney tumor kidney cancer Indication Peri-renal or kidney tumor patients. Contraindications 1, with systemic diseases, can not tolerate surgery. 2, local infection, not suitable for surgery. Preoperative preparation 1. Benign tumors pay attention to the presence or absence of hematuria, parallel B-ultrasound or CT examination. 2. Kidney cancer (also known as renal cell carcinoma, renal clear cell carcinoma) Note the age of onset and the following performance: 1 intermittent painless hematuria, dull pain in the kidney area, and systemic symptoms, including hypothermia, anemia, Erythrocytosis, hypertension, hypercalcemia, etc. 2 kidney area sputum pain, kidney enlargement, symptomatic varicocele and abdominal mass. 3 urinary X-ray film and urography: increased renal shadow, renal pelvis, renal pelvis compression deformation. Cystoscopy revealed bleeding from the affected ureteral opening. 4 radionuclide kidney scan: radioactive sparse areas appear in cancers >3cm. 5 renal angiography (diagnostic value for early cancer): showing pathological vascular images of cancer, such as selective renal angiography after injecting epinephrine into the renal artery, the pathological vascular image is more clear. 6B ultrasonography and CT examination: have a high early diagnostic value for renal cancer. 3. The age of onset of renal pelvis cancer and the following clinical manifestations: 1 Early onset of ocular hematuria, renal colic and hydronephrosis. 2 intravenous urography: showing irregular filling of the renal pelvis, renal pelvis, hydronephrosis, ureteral cancer, renal angiography if necessary to help diagnose. 3 cystoscopy: ureteral spurting, or seeing cancer. 4 cancer cells can be found in the urine. 5B ultrasound and CT examination. 4. Wilms tumor (embryonic tumor) pay attention to the age of onset (mostly in young children, occasionally in young and middle-aged) and whether or not the following performance: 1 with abdominal mass as the first symptom, anemia, low fever, high blood pressure common, but Hematuria is rare. 2 urography is not developed or shows renal pelvis, renal pelvis deformation displacement, kidney shadow increased, calcification in the tumor area, ureter can be pushed to the midline by the tumor. 3 radionuclide kidney scan, showing renal radioactive defects and sparse. 4 lungs, bones can have early metastasis. 5B ultra, CT or MRI examination.
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