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目的:探讨肾钙乳症的诊断和治疗方法。方法:回顾性分析1998～2009年收治的12例肾钙乳症患者的临床资料:12例均经X线腹部平片和超声检查,4例行CT检查;8例行肾钙乳囊腔切除术,1例行肾切除术,3例无症状者作随访观察。结果:术前确诊为肾钙乳症5例,拟诊为肾钙乳症3例,误诊为结石3例、结核1例。9例手术者术后恢复良好,3例仍在随访观察中。结论:本病的诊断主要依靠X线、B超及CT检查。对于病灶<25mm无症状者,可随访观察;对于>25 mm有症状者,应及早手术治疗。
Objective: To investigate the diagnosis and treatment of renal calcium milk. Methods: The clinical data of 12 patients with renal calcium and milk admitted in our hospital from 1998 to 2009 were analyzed retrospectively: 12 cases were diagnosed by X-ray plain film and ultrasonography, 4 cases were examined by CT, 8 cases were treated by renal calcium-calcium cavity resection One patient underwent nephrectomy and 3 asymptomatic patients were followed up. Results: Preoperative diagnosis of renal calcium in 5 cases, to be diagnosed as renal calcium milk in 3 cases, misdiagnosed as stone in 3 cases, tuberculosis in 1 case. Nine patients recovered well after operation, and 3 patients were still under follow-up. Conclusion: The diagnosis of the disease depends mainly on X-ray, B ultrasound and CT examination. For lesions <25mm asymptomatic, follow-up observation; for> 25mm symptomatic, surgery should be as soon as possible.