非肾癌肾实质实性占位的诊疗（附58例病例报告）

Diagnosis and treatment of nonepithelial renal tumor{ Report of 58 cases}

目的总结临床诊治非肾癌肾实质实性占位的经验，提高非肾癌肾实质实性占位的诊治水平。方法回顾性分析经临床或病理诊断为非。肾癌肾实质实性占位的58例患者的临床资料。结果根据58例非肾癌肾实质实性占位患者的病例特点，予46例患者行手术治疗。手术效果确切。结论非肾癌肾实质实性占位常规临床实验室检查和影像学检查术前常难以做出准确诊断，术中冰冻病理结果对诊断及具体手术方案的制定很有帮助。对于诊断为错构瘤和肾嗜酸性细胞瘤的患者，可适当放宽肾脏部分切除的手术适应证，尽量减少肾切除手术。

Objectives To summarize the experience and to improve the level of diagnosing and managing nonepithelial renal tumor. Methods The clinical data of 58 cases no nepithelial renal tumor confirmed by operation and pathology examination were analyzed. Results On the basis of 58 cases nonepithelial renal tumor＇s characteristic, give 46 cases the treatment of operation. The curative effect is corroboration. Conclusion nonepithelial renal tumor is difficult to diagnose with laboratory observation and image examination. Conclusions The result of pathology examination during operation could only be useful for a definite diagnosis . When confirmed by pathology ex- amination,partial nephrectomy was encouraged to remove the renal oncocytoma and renal angiomyolipoma. Complete nephrectomy should be avoided.