肾血管瘤3例报告并文献复习

Hemangioma of the kidney (report of 3 cases)

目的提高肾血管瘤的诊断准确率及治疗效果.方法对3例肾血管瘤患者病例进行回顾性分析.结果 1例术前明确诊断,行肾部分切除术;2例行肾切除术,手术后诊断明确;3例均治愈,疗效满意,无并发症,术后随访10个月～9年,未发现血管瘤复发.结论 B超、CT对肾血管瘤术前明确诊断缺乏特异性,DSA有助于诊断;该病肾切除率较高,但选择性肾动脉栓塞术是良好的治疗手段.

Objective To evaluate the diagnosis and treatment of hemangioma of the kidney. Methods 3 cases were reviewed in combination with literature. Results 1 case was diagnosed preoperatively by DSA, 2 cases were diagnosed after operation. 10 months to 9 years follow-up showed that all 3 cases were cured without complication and recurrence. Conclusion B ultrasonography and CT scan are helpless in the diagnosis of the disease, while DSA is helpful. Surgical management is the choice of treatment for most cases and selective embolization can be an alternative.