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目的 :探讨肾钙乳症的诊断与治疗方法。方法 :回顾性分析了 1 985～ 1 999年收治的肾钙乳症 9例的临床资料 ,9例均经 X线腹部平片和超声检查 ,7例行肾钙乳囊腔切除术 ,2例无特殊症状者作随访观察。结果 :确诊为肾钙乳症 5例 ,拟诊为肾钙乳症 2例 ,误诊 2例 ;7例手术者术后恢复良好 ,2例仍在随访中。结论 :本病的术前诊断主要依靠 X线检查 ,出现边缘光滑的圆形或椭圆形致密影 ,应考虑为本病的可能 ;对于病灶 <2 5mm无症状者 ,可随访观察 ;对于病灶 >2 5mm有症状者 ,应及早手术治疗 ,可作肾钙乳病灶切除术。
Objective: To investigate the diagnosis and treatment of renal calcium milk. Methods: The clinical data of 9 cases of renal calcium milk admitted from 1985 to 1999 were retrospectively analyzed. All the 9 cases were examined by X-ray plain film and ultrasonography, 7 cases were treated by nephrocalcinomycin and 2 cases No special symptoms were followed up. Results: 5 cases were diagnosed as renal calcium and milk, 2 cases were diagnosed as renal calcium and milk, 2 cases were misdiagnosed. 7 cases recovered well after surgery and 2 cases were still under follow-up. Conclusion: The preoperative diagnosis of this disease depends mainly on X-ray examination, showing a smooth round or oval-shaped edge of the shadow, should consider the possibility of this disease; for lesions <2 5mm asymptomatic, follow-up observation; for lesions> 2 5mm symptomatic, surgical treatment should be as soon as possible, can be used for nephrectomy.