孤立肾病变的治疗

目的探讨孤立肾病变的治疗方法。方法回顾分析我院自1990年5月～2000年8月收治的12例孤立肾病变患。6例肾结石行肾盂切开取石术。2例孤立肾肿瘤，其中1例行肾部分切除术，1例2次行肿瘤剜除术。4例外伤性肾出血行保守治疗，其中2例因继发性出血而行超选择性肾动脉栓塞治疗。结果6例孤立肾结石随访0．5月～6年，平均3．3年，肾功能好转。2例孤立肾肿瘤中，1例于剜除手术后4年复发而再次行剜除肿瘤，半年后死于肺转移。另1例未复发。4例肾外伤均痊愈。结论对于孤立肾病变应早期积极处理，尽量减少肾单位的丢失。

The treatment of the solitary kidney disease.

Objective To investigate the treatment of the solitary kidney disease. Method 12 cases with the solitary kidney disease were reviewed, 6 cases with renal stone were managed by pyelolithotomy,of 2 cases with renal tumour,partial ncphrcctomy was underwent in one,enucleation was carried out in the other. The supra selective kidney artery embolizing was carried out in 2 cases. Results 6 cases with renal stone have been followed up for 36 - 60 months,the renal function was improve after operation. Of 2 cases with renal tumor 1 cases received the enucleating tumour again 4 years later and died of the metastasis of the lung 6 months after operation, the other was no recurrent evidence. 4 cases of renal trauma were all recovery and followed up for 8-48 months.Conclusion It should be treated early for the diseases of the solitary kidney so that it may be decrease the losing of the ncphron as possible as.