摘要
目的：探讨肾脏炎性假瘤的临床特征。方法：报告12例肾脏炎性假瘤的临床资料．8例术前误诊为肾脏肿瘤而进行手术治疗，其中肾切除5例，术中取活检后行单纯肿瘤切除3例；其余4例抗感染治疗。结果：抗感染治疗4例肿瘤分别在2、3、3、5个月消失；全部病例随访1～3年，未见复发。结论：肾脏炎性假瘤的影像学特异性相对不高．易误诊。选择性肾动脉造影和多点穿刺有助于鉴别诊断，术中快速冷冻切片是诊断和决定手术范围的直接依据。本病抗感染治疗有效。
Objective：To study the clinical feature of renal inflammatory pseudotumor. Methods：A retrospective study of 12 inpatients with renal inflammatory pseudotumor were carried out by analyzing and discussing the clinical notes on treatment and diagnosis. Results： Eight cases were misdiagnosed as having renal tumor and managed surgically, 5 had renal resection and 3 had the tumor removed after biopsy. In the other cases, anti inflammatory drugs were used, and the tumor disappeared after 2,3,3,5 moths respectively. All didn＇t recurrence on following up for 1 -3 years. Conclusions：Renal inflammatory pseudotumor＇s imaging specificity is not high. which can lead to misdiagnosis, but selective renal arteriography and multiple points biopsy are important for diagnosis. Anti-inflammatory drugs are effective for the treatment of renal inflammatory pseudotumor.
出处
《临床泌尿外科杂志》
2006年第7期503-504,共2页
Journal of Clinical Urology
关键词
肾脏疾病
炎性假瘤
诊断
治疗
Renal
Inflammatory pseudotumor
Diagnosis
Treatment
