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目的 :探讨自发性肾包膜下出血的诊断与治疗。方法 :报告 13例自发性肾包膜下出血的诊治效果。结果 :4例肾癌行根治性肾切除 ,3例肾血管平滑肌脂肪瘤行瘤体剜除 ,1例SLE行血肿引流 +肾活检 ,1例肾结核行患肾切除 ,4例保守治疗。结论 :自发性肾包膜下出血是多种肾脏及全身疾病影响的结果 ,KUB +IVP ,B超及CT可确定出血范围及可能的病因诊断。视其病因及症状作相应手术及保守治疗。
Objective: To investigate the diagnosis and treatment of spontaneous subrenal hemorrhage. Methods: The diagnosis and treatment of 13 cases of spontaneous subrenal hemorrhage were reported. Results: 4 cases of renal cell carcinoma were treated by radical nephrectomy, 3 cases of renal angiomyolipoma were removed, 1 case of SLE with hematoma drainage and renal biopsy, 1 case of renal tuberculosis underwent nephrectomy and 4 cases of conservative treatment. Conclusions: Spontaneous subrenal hemorrhage is the result of various kidney and systemic diseases. KUB + IVP, B-mode ultrasonography and CT can confirm the extent of bleeding and possible etiological diagnosis. Depending on their etiology and symptoms for the corresponding surgery and conservative treatment.