肾血管平滑肌脂肪瘤103例诊治分析  

Diagnosis and treatment for 103 cases of Renal Angiomyolipoma

作　　者：邵建国[1] 丁克家[1] 高德轩[1] 

机构地区：[1]山东大学附属省立医院泌尿外科,山东济南250021

出　　处：《中国现代医学杂志》2011年第24期3034-3036,3040,共4页China Journal of Modern Medicine

摘　　要：目的探讨肾血管平滑肌脂肪瘤的诊断治疗方法。方法回顾性分析103例肾血管平滑肌脂肪瘤的诊断治疗方法。结果 B超检查79例提示血管平滑肌脂肪瘤(79/103),CT检查86例提示血管平滑肌脂肪瘤(86/103),32例行MR检查者28例提示血管平滑肌脂肪瘤(28/32)。75例行保留肾单位手术(肾肿瘤剜除术或肾部分切除术),其中8例直径小于4 cm者行后腹腔镜肿瘤剜除术。肾切除术18例,10例患者临床观察。随访3～36个月,未见肿瘤转移及复发。临床观察患者肿瘤生长缓慢。结论 B超、CT及MRI是诊断肾血管平滑肌脂肪瘤的主要手段,保留肾单位手术是治疗肾血管平滑肌脂肪瘤的理想方法,应从严掌握肾切除的手术指征。【Objective】 To discuss the diagnosis and treatment of renal angiomyolipoma.【Methods】 Clinical data of 103 cases of renal angiomyolipoma were retrospectively analyzed.【Results】 79/103 of B-ultrasound,86/103 of computerized tomography（CT）,28/32 of magnetic resonance imaging（MRI） inferred renal angiomyolipoma.Of the 75 cases undergoing Nephron-sparing surgery,8 cases with tumors less than 4cm in diameter received retroperitional laparoscopy surgery.18 cases underwent nephrectomy.10 patients without operation underwent clinical observation.Follow-up period was 3～36 monthes and no tumor metastasized or occurred again.The tumors grew slowly in 10 patients without operation.【Conclusion】 B-ultrasound,CT and MRI are major methods for diagnosis of renal angiomyolipoma.NSS can be performed with satisfactory result in renal angiomyolipoma.The indications of nephrectomy should be controlled strictly.

关 键 词：肾血管平滑肌脂肪瘤 诊断 治疗 

分 类 号：R737.11[医药卫生—肿瘤]