保留肾单位手术治疗肾错构瘤的探讨

Nephron sparing surgery for renal angiomyolipoma

目的 :探讨保留肾单位手术治疗肾错构瘤的可行性和有效性。方法 :采用保留肾单位手术治疗 30例肾错构瘤患者 ,其中 2 9例行肾部分切除术 ,1例行选择性动脉栓塞术。结果 :30例患者共切除瘤体 31个 ,直径2～ 2 3cm ,术后无一例发生出血、尿瘘 ,术后肾功能相对稳定。随访 1～ 14 2个月 ,未见肿瘤局部复发。结论 :保留肾单位手术治疗肾错构瘤成功率高 ,有效地控制出血和保护肾脏功能是手术成功的关键。

Objective:To evaluate the efficacy and surgical feasibility of nephron sparing surgery(NSS) in RAML.Method:A total of 30 patients of renal angiomyolipoma(RAML) were underwent NSS, 29 patient underwent partial nephrotomy, 1 patient underwent selective arterial embolization(SAE).Result:Resect 31 toumors in 30 patient of RAML, Median size of enucleated tumors was 12.5 cm(2～23cm); none of the patients developed hemorrhage or urinary fistula. Post-operative serum creatinine was stable, The median follow-up of all patients is 71.5(1～142) months, no patients had a local recurrence.Conclusion:NSS can be performed in RAML patients with a high achievement ratio, control of haemorrhage effective and conservancy of renal function as far as possible are the key point.