肾错构瘤的诊断与治疗(附13例报告)

The diagnosis and treatment of renal angiomyolipoma (report of 13 cases)

目的探讨肾错构瘤的诊断和治疗.方法本组13例患者手术治疗,4例行肿瘤剜除术,6例行患肾部分切除术,1例患者因急腹症就诊探查确诊切除患肾,1例恶变者行肾癌根治术,1例保守治疗.结果所有手术患者术后恢复顺利,术后随访6个月～2年,未见肿瘤复发.结论通过B超、CT等检查,大部分肾错构瘤的患者都可明确诊断,少数瘤体破裂大出血而诊断未明者,宜剖腹探查.手术是治疗肾错构瘤的主要方法,特别是对于肾错构瘤体积大于4cm者应尽早手术治疗.对少数非手术治疗者,应严密观察.手术宜尽量保留有功能的肾组织,恶变者行肾癌根治术.

Objective To investigate the diagnosis and treatment of renal angiomyolipoma. Methods 13 patients were treated with operation, of whom 10 were treated with renal preserved operation, and 2 with nephrectomy due to emergent blooding and malignant change confirmed by intra operative frozen section respectively. 1 patient was treated conservatively. Results All patients treated with operation restored smoothly, and recurrence of tumor was not found from 6 months to 2 years after operation. Conclusion The majority of angiomyolipoma could be diagnosed definitely by Ultrasound and CT scan, and a few patients with massive blooding should undergo operation emergently. Operation was a major method to treat Hamartoma of kidney, especially on patients with tumor larger than 4cm. A few cases with non-operation should be observed carefully. The operative management should preserve the functional nephrons as many as possible, and renal cancer radical resection should be performed on patients with malignant change.