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目的探讨肾错构瘤自发性破裂出血的临床诊断及治疗方法。方法 6例肾错构瘤自发性破裂出血患者中3例患者无明显诱因下突发腰痛起病,3例患者体力劳动时出现剧烈腰痛伴头晕就诊。6例患者入院时均出现不同程度的面色苍白、血压下降、心率增快等失血性休克症状。6例患者均积极行彩超和肾脏CT检查,证实为肾血管平滑肌脂肪瘤破裂出血,及时行抗休克等治疗并结合实际情况,配合及时有效的手术治疗。结果 6例均痊愈出院,无手术并发症。术后病理证实为肾血管平滑肌脂肪瘤。结论彩超和CT是确诊肾错构瘤的有效而简便的方法,术前积极抗休克治疗结合及时的外科手术仍为肾错构瘤自发破裂的主要治疗方法。
Objective To investigate the clinical diagnosis and treatment of spontaneous rupture of renal hamartoma. Methods Six patients with spontaneous rupture of renal hamartoma had sudden low back pain onset without obvious inducement, and three patients presented with intense back pain and dizziness when they were in manual labor. Six patients admitted to hospital all appeared varying degrees of pale, blood pressure, heart rate and other hemorrhagic shock symptoms. All 6 patients underwent color Doppler ultrasound and renal CT examination. Renal angiomyolipoma ruptured and hemorrhage confirmed. The patients were treated with anti-shock in time and combined with the actual situation, with the timely and effective surgical treatment. Results 6 cases were cured and discharged without complications. Postoperative pathology confirmed renal angiomyolipoma. Conclusions Color Doppler ultrasound and computed tomography (CT) are effective and simple methods for the diagnosis of renal hamartoma. Preoperative anti-shock combined with prompt surgery is still the main treatment for spontaneous rupture of renal hamartoma.