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肾胚胎瘤占小儿腹部实质性肿瘤的6~30%。它是小儿最常见的腹部恶性肿瘤,特别多见于3岁以下的婴幼儿。但67岁的老年人也有发病。一、诊断与鉴别诊断根据临床现象、钡餐检查及静脉肾盂造影等检查所见,确诊肾胚胎瘤似无困难;但仍有7~10%的误诊率。被误诊的疾病有神经母细胞瘤、肾盂积水、肾脓肿、多囊肾等。新生儿期易与良性间质肾母瘤相混淆。近几年来,利用血管造影诊断腹膜后肿瘤,并了解腹膜后肿瘤的范围及下腔静脉是否受肿瘤侵犯。
Kidney embryo tumors account for 6 to 30% of pediatric abdominal tumors. It is the most common malignant tumor of the abdomen in children, especially prevalent in infants under 3 years of age. But 67-year-olds also have the disease. First, the diagnosis and differential diagnosis According to clinical manifestations, barium meal examination and intravenous pyelography and other findings, the diagnosis of renal embryo tumor seems no difficulty; but there are still 7 to 10% misdiagnosis rate. Misdiagnosed diseases are neuroblastoma, hydronephrosis, renal abscess, polycystic kidney disease. Neonatal and benign interstitial neoplasms easily confused. In recent years, the use of angiography in the diagnosis of retroperitoneal tumors, and to understand the scope of retroperitoneal tumors and invagination of the inferior vena cava.