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肾血管平滑肌脂肪瘤的诊断和手术治疗
引用本文:刘南,卢根生,罗宏,李元,周宏,王传麟,彭健康.肾血管平滑肌脂肪瘤的诊断和手术治疗[J].重庆医学,2010,39(19).
作者姓名:刘南  卢根生  罗宏  李元  周宏  王传麟  彭健康
作者单位:重庆市肿瘤研究所泌尿外科,400030;第三军医大学西南医院泌尿外科,重庆,400038
摘    要:目的 探讨肾血管平滑肌脂肪瘤的诊断和手术治疗.方法 回顾性分析2002~2008年本院诊治的52例肾血管平滑肌脂肪瘤患者的临床资料,所有患者均行B超、CT和静脉尿路造影(IVU)检查.47例行肾肿瘤剜除术,1例行肿瘤剜除术并肾部分切除术,2例行肾部分切除术,2例行肾切除术.术后病理诊断为经典型肾血管平滑肌脂肪瘤43例,上皮样肾血管平滑肌脂肪瘤8例,上皮样肾血管平滑肌脂肪瘤合并经典型肾血管平滑肌脂肪瘤1例.结果 52例患者术后恢复良好.48例患者术后经3~75个月的随访,未见脂肪瘤复发且肾功能良好.结论 B超和CT检查是术前确诊的主要依据.直径大于4 cm的肾错构瘤应积极手术治疗.手术时尽量保留有功能的肾组织.

关 键 词:肾血管平滑肌脂肪瘤  B超  CT  手术治疗

Diagnosis and operative treatment of renal angiomyolipoma
LIU Nan,LU Gen-sheng,LUO Hong,et al..Diagnosis and operative treatment of renal angiomyolipoma[J].Chongqing Medical Journal,2010,39(19).
Authors:LIU Nan  LU Gen-sheng  LUO Hong  
Institution:LIU Nan1,LU Gen-sheng2,LUO Hong1,et al.(1.Department of Urology,Tumor Institute of Chongqing,Chongqing,400030,China,2.Department of Urology,Southwest Hospital,Third Military Medical Univisity,400038,China)
Abstract:Objective To study the diagnosis and opreative treatment of renal angiomyolipoma.Methods Clinical data,diagnosis and treatment were studied retrospectively in 52 cases with renal angiomyolipoma(RAML)from 2002-2008.Examination of ultrasonography,CT,intravenous urography(IVU)were undergone in 52 cases respectively.All cases had been treated with operation,of which 47 cases with tumor enucleation,1 case with tumor enucleation plus partial renal resection,2 case with partial renal resection,2 cases with nephrec...
Keywords:CT
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