肾脏炎性假瘤(附10例报告)

Renal inflammatory pseudotumor (report of 10 cases)

目的 提高对肾脏炎性假瘤的认识和诊治水平。 方法 报告 10例肾脏炎性假瘤的诊治情况 ,结合文献就其诊治问题进行讨论。 结果 肾脏炎性假瘤的主要临床表现为发热、腰痛及血尿。影像学检查无特异性。 10例患者 6例误诊为肾癌而行肾切除术 ;4例经活检确诊为炎症 ,以抗炎治疗治愈 ,随访 1～ 5年 ,未见复发。 结论 此病诊断应以临床症状为主 ,结合动态影像学检查 ,特别是抗生素治疗前后的对比。当怀疑本病时 ,B超引导下穿刺活检是确诊的主要依据。

Objective To improve the diagnosis and treatment of renal inflammatory pseudotumor (RIP). Methods 10 cases of RIP treated from 1970 to 1999 were reviewed and the diagnosis and treatment were discussed. Results The main clinical manifestation of RIP were fever,lumbago and hematuria.6 of 10 underwent nephrectomy because of the suspicion of kidney cancer whereas the other 4 were cured by antibiotics without recurrence on following up for 1～5 years. Conclusions RIP is rare,the diagnosis being based on clinical symptoms together with dynamic B ultrasound and CT scan.Needle biopsy is indicated to establish the diagnosis if necessary.Antibiotics is usually effective.