肾血管平滑肌脂肪瘤的影像学诊断(附35例报告)

Image diagnosis of renal angiomyolipoma (Report of 35 cases)

目的 提高肾血管平滑肌脂肪瘤的诊治水平。方法 对35例肾血管平滑肌脂肪瘤患者影像学检查及手术情况进行回顾性研究。结果 影像学检查对RAML具有特异性,RAML的组成成分也影响影像学诊断的准确性。结论 脂肪含量低或混有血凝块是肾血管平滑肌脂肪瘤误诊的主要原因,可通过加密扫描或螺旋CT加以解决。影像学检查对肿瘤定位及成分的分析有助于指导治疗方案的选择。

Objective To improve the diagnosis and treatment of renal angiomyolipoma. Methods Image analysis was conducted in 35 patients with renal angiorayolipoma. Results B - ultrasonography and CT scanning have specificity on renal angiomyolipoma and the fatty component affects the diagnosis of renal angiorayolipoma. Conclusions The Less fatty component was the main cause of misdiagnosis. Thin slice scan and spiral CT might be helpful to the correct diagnosis.