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肾素瘤的诊断与治疗:3例报告 被引量:5

Diagnosis and Management of Reninoma-report of Three Cases and Literature Review
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摘要 目的探讨肾素瘤的临床、影像学及病理学特点,提高其诊治水平。方法回顾性分析1995年1月至2011年6月我院收治的3例肾脏后肾腺瘤患者的临床及影像学资料。结果 3例中有2例行肿瘤切除术,1例行根治性肾切除术。术后2周3例病人血压以及血肾素,血管紧张素Ⅱ,醛固酮及血钾水平均恢复正常。3例随访8个月至10年,均无瘤生存。结论肾素瘤是一种罕见的肾脏良性肿瘤,结合临床表现、影像学资料及病理学表现可获得明确诊断,保留肾单位的肿瘤切除术可获得良好的治疗效果,预后良好。 Objective To explore the clinical,imaging and pathological characteristics of reninoma,improve the diagnosis and treatment ability.Methods The clinical data of 3 cases of reninoma at our institute from January 1995 to June 2011 were reinvestigated.Results Two cases of reninoma were treated by tumor resection and the other by Radical nephrectomy.The level of blood pressure,blood renin,angiotensin II,aldosterone and potassium of the three patients were returned to normal two weeks after operation,no recurrence was found after 8 months to 10 years' follow-up.Conclusion Reninoma is a rare disease of benign renal tumor.Definite diagnosis could be made by Clinical manifestations,imaging data and pathology.Reninoma could be treated well by nephron-sparing tumor resection,prognosis was good.
出处 《中国医科大学学报》 CAS CSCD 北大核心 2011年第9期841-843,共3页 Journal of China Medical University
关键词 肾素瘤 高血压 肾肿瘤 reninoma hypertension renal tumor
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同被引文献40

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