不易确诊的肾错构瘤的诊断和治疗  

The diagnosis and treatment of atypical hamartoma

作　　者：刁伟霖 张海滨 刘建华 杨明 潘爱珍 陈凤兰 

机构地区：[1]广东省佛山市第一医院泌尿外科,广东佛山528000

出　　处：《现代泌尿外科杂志》2005年第5期270-272,共3页Journal of Modern Urology

摘　　要：目的探讨肾错构瘤的诊断和治疗方法。方法回顾性分析17例不典型肾错构瘤的临床和影像学资料,并与病理结果对照。结果术前诊断正确率B超为82.4%(14/17),CT为88.2%,结合MRI和肾动脉造影检查误诊者仅1例。17例行手术治疗,其中5例作肾切除术,16例现仍生存。结论综合分析临床、影像学资料和术后HMB-45检查以明确诊断,仔细分析术中冰冻切片结果,治疗以保留肾单位的手术为主。Objective To investigate the diagnosis and treatment of renal angiomyolipoma. Methods The clinical and imaging materials of 17 cases of atypical RAML were reviewed and compared with pathological results. Results The positive diagnosis rate of ultrasonography was 82. 4% （14/17） and that of CT, 88. 2% （15/17）. One case had been misdiagnosed preoperatively but was found out with the combined use of MRI and Angiography. All 17 cases underwent operation, of whom 5 received nephrectomy, and 16 still lived 16 now. Gonclusion The diagnosis was established by comprehensive clinical and imaging materials, as well as postoperative HMBo45 exam. Intraoperative frozen sect should be carefully analyzed. Nephronsparing surgery was the best operative management.

关 键 词：肾肿瘤 错构瘤 诊断:治疗 

分 类 号：R737.11[医药卫生—肿瘤]