肾错构瘤的诊断及外科治疗22例  

Diagnosis and surgical treatment of renal hamartoma: a report of 22 cases

作　　者：刘明勇 李江[2] 

机构地区：[1]天津市第五中心医院泌尿外科,天津300000 [2]天津医科大学总医院泌尿外科,天津300052

出　　处：《海南医学院学报》2008年第2期131-133,共3页Journal of Hainan Medical University

摘　　要：目的：探讨肾错构瘤的诊断和外科治疗。方法：回顾性分析2000～2006年本院诊治的22例肾错构瘤患者的临床资料，所有患者均行B超检查，18例行CT检查，3例行MRI检查。5例行肾切除术，12例行肾部分切除术，5例行肿瘤剜除术。结果：22例患者术后恢复良好，5例剜除术患者经6个月～3年的随访，未见复发且肾功能良好。结论：B超对诊断肾错构瘤破裂出血是有帮助的，CT和MRI是诊断肾错构瘤破裂出血的较好方法。直径大于4cm的肾错构瘤应积极手术治疗。手术时应尽量保留有功能的肾组织。Objective： To study the diagnosis and surgical treatment of renal hamartoma. Methods： Clinical data of 22 patients with renal hamartoma diagnosed and treated from 2000～2006 were studied retrospectively. Examinations of ultrasonography, CT, MRI were undergone in 22 cases,18 cases and 3 cases respectively. 5 patients underwent nephrectomy, 12 patients underwent partial renal resection, 5 patients underwent tumor enucleation. Results： Twenty two patients were successfully undergone surgical treatment with good recovery, 5 patients underwent enucleation of the hamartoma without relapsing according to 6 months to 3 years follow-up. Conclusions： Ultrasonography plays a valuable role in the diagnosis of hemorrhage of ruptured hamartoma, CT and MRI are the better methods to diagnose hemorrhage of ruptured hamartoma. Hamartoma size larger than 4 cm in diameter should undergo surgical treatment aggressively. Functional renal tissue should be reserved to utmost in the operation.

关 键 词：肾 肿瘤 诊断 外科手术 

分 类 号：R737.11[医药卫生—肿瘤]