肾血管平滑肌脂肪瘤并发出血14例诊治体会

Diagnostic Understanding of Angiomyolipomas of Kidney

对１４例肾血管平滑肌脂肪瘤中６例并发出血的患者诊治过程作一小结。复习文献总结国内报道的加本组共１１０例患者，认为国内肾血管平滑肌脂肪瘤有肾外体征的是极少数。Ｂ超，ＣＴ对其诊断及手术方式的选择具有重要意义。出血是一项重要的手术指征，对无症状的小于４ｃｍ直径的肿瘤患者可定期观察。

We rcported diagnoses of 14 patients of Angiomyolipoma,(AML)bleeding were given a diagnostic summary. In accordance with the review of rcl- evant literatures, CT and B-ultrasonic examination are a great significance inboth pre-operative diagnosis and the choice of snrgical plan. Commonest compli- cation of 4-cm sige AML, are liable to bleed repeatedly, which is one of surgical. In our country there are barely a few AML patients who have symptoms outsideof their Kidneys. Owing to the wide application of B-uitrasound in physicalexaminations, patient of AML without symptonm have been detected,Most of them need a careful observation,but no impatient operation.