自发性肾出血14例临床分析  

Evaluation and treatment of spontaneous renal hemorrhage

作　　者：张荣明[1] 邵远[1] 吴瑜璇[1] 周文龙[1] 张祖豹[1] 

机构地区：[1]上海第二医科大学附属瑞金医院泌尿外科,上海200025

出　　处：《临床泌尿外科杂志》2003年第10期590-591,共2页Journal of Clinical Urology

摘　　要：目的 :提高自发性肾出血 (SRH)的诊治水平。方法 :对 14例自发性肾出血的诊疗临床资料进行回顾分析。结果 :12例经手术及病理检查证实 ,肾细胞癌出血 5例 ,肾错构瘤出血 5例 ,肾多发性囊肿出血 2例 ;肾损伤保守治疗一年后又出血 1例 ;特发性肾出血 1例。 12例术后随访 6个月～ 5年 ,2例保守治疗分别随访 6个月和 3年 ,均病情稳定。结论 :自发性肾出血易误诊 ,应尽早诊治 ,B超、CT。Purpose:To improve the level of the diagnosis and treatment of spontaneous renal hemorrhage (SRH).Methods:Clinical data of 14 SRH patients were analyzed retrospectively.Results:Among the 12 patients underwent operations and diagnosed by pathology, 5 cases were renal cell carcinoma, 5 were angiomyolipoma and 2 multiple renal cysts. One patient's SRH occurred 1 year after renal injury and 1 patient had idiopathic SRH. All 12 patients were fine after follow-up period after operation from 6 months to 5 years , Two patients received conservative therapy were steady after 6 months to 3 years.Conclusions:SRH often be diagnosed falsely and early examination and treatment are needed. Ultrasound, CT, MRI and renal DSA are valuable for its diagnosis.

关 键 词：肾出血 肾癌 错构瘤 肾 肾囊肿 

分 类 号：R730.26[医药卫生—肿瘤]