肾血管平滑肌脂肪瘤的诊治(附35例报告)

Renal angiomyolipoma of the diagnosis and management (Report of 35 cases)

报告肾血管平滑肌脂肪瘤35例，其中31例术前行B超检查，25例行CT检查，5例行肾血管造影检查。手术治疗25例，其中行全肾切除术11例，肾部分切除术6例，肿瘤剜除术8例，术后均经病理检查证实；行肾动脉栓塞术5例；定期观察5例。随访1～2年，无肿瘤恶变，无复发。结合文献对肾血管下滑肌脂肪瘤术前诊断及治疗方式进行讨论。

The 35 cases of renal angiomyolipoma had been reported. The 31 of those performed B-ulitrasound and the 25 of those performed CT in the periopertived. The 5 of those performed renal angiography. The 28 cases had operatived. The 11 cases had been performed nephrectomy,the 6 cases partial nephreotomy,the 6 cases enuoleation. The all of the cases had been performed pathological diagnosis in the postoperation. 5 cases had been embolization. 5 cases conservatived. All patients have been followup for 1 to 2 years. No tumor have obseraved recurrent and malignant. The diagnosis and management of renal angiomyolipoma are discussed with the literature.