经皮消融治疗肾血管平滑肌脂肪瘤应用进展

Application progress of percutaneous ablation therapy of renal angiomyolipoma

肾血管平滑肌脂肪瘤(AML)是肾脏良性肿瘤,对有症状或病灶直径>4cm患者,既往推荐采用部分肾切除术和选择性动脉栓塞术进行治疗。近年来,经皮消融疗法用于治疗肾AML,具有对肾功能影响小、并发症少、复发率低等优点,但证据尚不充分。本文主要对射频消融、微波消融和冷冻消融治疗肾AML的研究进展进行综述。

Renal angiomyolipoma (AML) is a kind of benign tumor of the kidney. In the past years,partial nephrectomy and selective arterial embolization were preferentially performed on AML patients with obvious symptom or the largest diameter of tumor more than 4 cm.Recently,percutaneous ablation therapy is applied to treat renal AML,which has some advantages of small impact on renal function,less complications and low recurrence rate,but the relevant evidences are not yet sufficient.The advancements of radiofrequency ablation,microwave ablation and cryoablation in treatment of renal AML were reviewed in this article.