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肾错构瘤破裂出血诊治体会(附29例报道)
引用本文:卞军,刘存东,杨建昆,周其赵,薛康颐,李峰,戴宇平. 肾错构瘤破裂出血诊治体会(附29例报道)[J]. 临床医学工程, 2012, 19(8): 1272-1274
作者姓名:卞军  刘存东  杨建昆  周其赵  薛康颐  李峰  戴宇平
作者单位:1. 南方医科大学第三附属医院泌尿外科,广东广州,510630
2. 中山大学附属第一医院泌尿外科,广东广州,510080
基金项目:广东省医学科研基金资助项目,广东省科技计划资助项目
摘    要:目的探讨肾错构瘤自发性破裂出血的诊断和治疗方法。方法回顾性分析了2005至2011年诊治的29例肾错构瘤自发性破裂出血患者的临床资料,其中20例急诊行手术治疗,3例行介入栓塞治疗,6例行保守治疗。结果 20例行急诊手术治疗患者术后恢复良好,3例行介入栓塞治疗患者病情稳定,6例行保守治疗患者中3例病情稳定,另外3例保守治疗过程中改行手术治疗。结论 B超和CT检查是诊断肾错构瘤自发性破裂出血的重要方法,外科手术仍为肾错构瘤破裂出血的主要治疗方法。

关 键 词:肾肿瘤  错构瘤  破裂  自发性

Experience for Diagnosis and Treatment of Renal Angiomyolipoma with Spontaneous Rupture (Report of 29 Cases)
BIAN Jun , LIU Cundong , YANG Jiankun , ZHOU Qizhao , XUE Kangyi , LI Feng , DAI Yuping. Experience for Diagnosis and Treatment of Renal Angiomyolipoma with Spontaneous Rupture (Report of 29 Cases)[J]. Medical and Health Care Instruments, 2012, 19(8): 1272-1274
Authors:BIAN Jun    LIU Cundong    YANG Jiankun    ZHOU Qizhao    XUE Kangyi    LI Feng    DAI Yuping
Affiliation:1 Department of Urology,the Third Affiliated Hospital of Southern Medical University,Guangzhou 510630,China; 2 Department of Urology,the First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China)
Abstract:Objective To investigate the diagnosis and treatment of renal angiomyolipoma with spontaneous rupture. Methods From Jan 2005 to Dec 2011, retrospective study was taken on 29 cases of renal angiomyolipoma with spontaneous rupture. 20 cases were treated with emergency operation, 3 cases underwent selective renal embolization and 6 cases were treated conservatively. Results 20 cases with emergency operation recovered well, 3 cases with selective renal embolization were stable. In 6 cases of conservative treatment, 3 cases were stable, other 3 cases failed and received sugical operation. Conclusions Ultrasound and CT scan are important methods in diagnosis of renal angiomyolipoma with spontaneous rupture. Surgical operation is the main treatment for renal angiomyolipoma with spontaneous rupture.
Keywords:Renal tumor  Angiomyolipoma  Rupture  Spontaneous
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