肾错构瘤29例的诊治分析  

Diagnosis and treatment of angiomyolipoma :29 cases

作　　者：施浩强[1] 蒋云仙[1] 

机构地区：[1]安徽医科大学第一附属医院泌尿外科,安徽合肥230022

出　　处：《安徽医药》2005年第9期675-676,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的提高错构瘤的诊治水平。方法对29例肾错构瘤的临床资料进行回顾性分析。结果B超确诊率为65%(13/20),CT确诊率为70%(14/20)。本组29例中,行错构瘤剜出术9例;行肾部分切除4例;2例双侧错构瘤行剜出术+肾部分切除术;肾切除10例;根治性肾切除1例;3例观察随访。结论B超和CT为诊断肾错构瘤的首选方法。治疗上应以外科手术为主。手术方法取决于肿瘤的大小、部位,但原则上应尽量保存正常的肾组织。Aim To improve the diagnosis and treatment of angiomyolipoma （AML）, Method The clinical data of 29 patients with AML were retrospectively analysed from January. 1995 to February 2004. Results The positive diagnosis rate of B Uhrasonography （BUS） was 65% （13/20） and CT was 70% （14/20）, AML encleation were performed in 9 patients, partial nephrectomy in 4, AML encleation ＋ partial nephrectomy in 2 cases of bilateral AML, nephrectomy in 10, radical nephrectomy in 1 and follow-up in 3, Conclusions BUS and CT scan were the mostly useful method for diagnosis of AML. A nephron - sparing surgery approach should be considered according to AML size and location.

关 键 词：肾错构瘤 B超检查 手术治疗 CT诊断 肾功能 

分 类 号：R737.11[医药卫生—肿瘤]