多房性囊性肾瘤的诊断与治疗(附4例报告)  

Diagnosis and treatment of multilocular cystic nephroma (report of 4 cases)

作　　者：许嘉骏[1] 徐丹枫[2] 金辛良[1] 谭剑敏[1] 朱晓明[1] 

机构地区：[1]第二军医大学附属长征医院闸北分院泌尿外科,上海200070 [2]第二军医大学附属长征医院泌尿外科,上海200003

出　　处：《现代泌尿外科杂志》2008年第1期16-17,共2页Journal of Modern Urology

摘　　要：目的提高对多房性囊性肾瘤(MLCN)的诊断和治疗水平。方法回顾性分析4例MLCN患者的临床资料。男2例,女2例。年龄41-72岁,平均53岁。主要表现为血尿、腰部钝痛、肾绞痛和肾区肿块。分析其B超、IVU、CT、MRI检查所见征象,并与手术、病理所见对照。结果4例患者均行开放性手术治疗后痊愈。其中行肾切除3例,肾部分切除1例。患者术后随访6-18个月未发现复发。结论影像学检查是MLCN的重要检查手段,保留肾单位的肿瘤切除术是本病的首选治疗方法。多房性囊性肾瘤为良性肿瘤,术后均能获得痊愈。Objective To improve the diagnostic and therapeutic methods of multilocular cystic nephroma （MLCN）. Methods The clinical date of 4 cases of multilocular cystic nephroma （2 men and 2 women） were analyzed, whose age ranged from 41-72 years, with a mean of 53 years. All the patients with renal lymphangioma were reported and relevant literature were reviewed. The main manifestations were hematuria, flank pain, renal colic and palpable mass. Ultrasonography, IVU, CT and MRI findings were analyzed. Results Open surgery had been carried out in all of the 4 patients, including 3 nephrectomy and 1 partial nephrectomy. All patients were followed up for 6-18 months and no reoccurrence was found. Conclusion Imaging examinations are important means for detecting MLCN, and partial nephrectomy is the primary and effective therapeutic method for this disease.

关 键 词：肾肿瘤 多房性囊性肾瘤 

分 类 号：R692.12[医药卫生—泌尿科学]