肾脏炎性假瘤诊治分析  

Diagnosis and Treatment of Renal Inflammatory Pseudotumor

作　　者：付承忠[1] 

机构地区：[1]内江市第一人民医院,四川内江641000

出　　处：《中外医学研究》2012年第25期118-119,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的：探讨肾脏炎性假瘤的临床表现、诊治及预后特点。方法：总结笔者所在医院2000-2012年诊治的7例肾脏炎性假瘤患者临床资料,5例术前诊断为原发性肾癌的患者均行根治性肾切除术;1例患者术中行快速活检,提示炎性假瘤而行肿瘤剜除术;1例患者行抗感染治疗3个月后复查CT肿瘤消失。结果：随访3个月~12年,所有患者均健在,保留患侧肾脏的两位患者未见肿瘤复发。结论：该病抗感染治疗有效,预后好。然而术前诊断困难,与原发性肾癌容易混淆。对无法确诊病例可行术中探查,术中行冰冻病理检查提高确诊率。Objective ：To investigate the renal inflammatory pseudotumor clinical manifestations, treatment and prognosis. Methods ：To summarize the diagnosis and treatment of the hospital 2000-2012 of 7 cases of renal inflammatory pseudotumor in patients with clinical data, 5 cases were diagnosed as primary renal cancer patients underwent radical nephreetomy ; 1 cases intraoperative biopsy, prompting inflammatory pseudotumor and enucleation of the tumor ; 1 patients treated with antibiotics after 3 months of treatment review of CT tumor disappeared. Results ：After a follow-up of 3 months to 12 years, all patients were alive, retained ipsilateral kidney in two patients, no tumor recurrence.Conclusion ：The disease anti infection treatment, the prognosis is good. However, the difficulty of preoperative diagnosis, and primary renal cancer easily confused. No confirmed cases of practical exploration during operation, intraoperative frozen section examination to improve the diagnosis rate.

关 键 词：炎性假瘤 诊断 治疗 肾 

分 类 号：R699.2[医药卫生—泌尿科学]