肾血管平滑肌脂肪瘤的诊断与治疗(附36例报告)

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报告肾血管平滑肌脂肪瘤36例,其中随访观察7例,手术治疗29例。手术治疗包括肾切除13例,肾部分切除5例,单纯肿瘤剜除10例,1例双侧病变,左侧行肾切除,右侧行肿瘤剜除。术后全部手术病例均经病理检查证实。文中对临床应用B超及CT诊断本病的准确率及重要性进行了分析讨论,认为B超结合CT扫描是诊断本病的主要方法;早期明确诊断是保存正常肾实质功能、降低肾切除率的关键;治疗上应根据不同情况区别对待。 Renal angiomyolipoma was reported in 36 cases, of which 7 were followed up and 29 were treated by surgery. Surgical treatment included nephrectomy in 13 cases, partial nephrectomy in 5 cases, simple neoplasm in 10 cases, bilateral nephrectomy in 1 case, nephrectomy in the left side and neoplasm in the right side. All surgical cases were confirmed by pathological examination. The clinical application of B ultrasound and CT diagnosis of the accuracy of the disease and the importance of analysis and discussion that the B-CT scan is the main method of diagnosis of this disease; early diagnosis is to save the normal renal parenchymal function and reduce the rate of nephrectomy The key; treatment should be treated differently according to different situations.
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