肾错构瘤自发性破裂出血的诊治分析(附20例报告)

Spontaneous Rupture of Renal Hamartoma Analysis of Diagnosis and Treatment of Bleeding(A Report of 20 Cases)

目的探讨肾错构瘤自发性破裂出血的诊断和治疗方法。方法分析2010年6月~2013年12月收治的20例肾错构瘤自发性破裂出血患者的临床资料。6例行肿瘤剜除术,11例行肾切除术,3例行肾动脉栓塞术治疗48 h后行肾切除术。结果20例手术患者术后恢复良好,随访6~36个月,未发现肿瘤复发。结论 CT检查是诊断肾错构瘤破裂出血的有效方法,外科手术仍为肾错构瘤破裂出血的主要治疗方法。

Objective To improve the diagnosis and treatment of spontaneous rupture of renal hamartoma.Methods During June 2010 to December 2013,20 cases of renal hamartoma with spontaneouse rupture were reviewed in our hospital.6 cases received nephron sparing surgery,11 cases under went nephrectomy,3 cases received selected transcatheter arterial embolization and nephrectomy after 48 hours.Results Al the 20 cases recovered successful y after operation.All of them had no evidence of recurrence by fol owed up from 6 months to 36 months.Conclusion CT scam was ef ective means for the diagnosis.Surgical operation is the main treatment for renal angiomyolipoma with spontaneous rupture.