肾血管平滑肌脂肪瘤的诊疗探讨(附41例报告)

DIAGNOSIS AND TREATMENT OF 41 CASES OF ANGIOMYOLIPOMA OF KIDNEY

目的 掌握肾血管平滑肌脂肪瘤的临床表现、诊断方法和病理特征，提高诊断符合率。探讨肾血管平滑肌脂肪瘤的手术治疗方法，观察其，临床疗效。方法 明确诊断后，根据肿瘤大小和病变程度，分别采用肿瘤剜除术31例，肾部分切除术8例，2例病变较重的患者行肾切除。结果 B超诊断准确率76．8％，CT为7．2％，MRI为84．2％。术后患者全部随访1～2年，肿瘤局部无复发。结论 B超、CT、MRI是诊断肾血管平滑肌脂肪瘤的重要检查方法。家族史和详细的体格检查能够提供重要的诊断线索，二者相互结合能提高本病的诊断准确率。肿瘤剜除术是肾血管平滑肌脂肪瘤最理想的手术方法。

Objective To explore the diagnoses and treatments of angiomyolipoma of kidney. Methods After confirmed diagnoses,accordlng to the size of tumor and lesion conditions, 31 cases had their tumors enucleated,8 cases got partial nephrectomy and 2 severe cases got nephrectomy. Results The diagnostic rates of B-ultrasonograph, CT and MRI examinations were 76.8 %, 86.7 % and 84.2 % respectively. All cases received 1 - 2 years of follow-up surveys. No reoccurrences were discovered. Conclusion B-ultrasonograph, CT and MRI examinations have proved to be of great importance in diagnosing angiomyolepoma of kiney. Family history and detailed physical examination can provide important diagnostic clues, and the combination of them can produce better diagnoses. Tumor enucleating has proved to be an ideal method to treat angiomyolipoma of kidney.