肾血管平滑肌脂肪瘤的诊断与治疗(附20例报告)

• 作 者: 申东亮 黄奋人 侯四川 刘勇
• 机 构: 青岛医学院附属医院泌尿外科,青岛医学院附属医院泌尿外科,青岛医学院附属医院泌尿外科,青岛医学院附属医院泌尿外科,
• 出 处: 临床泌尿外科杂志
• 发表日期: 1991年01期
• 关键词: 肾肿瘤 脂肪密度 B型超声 CT 回声反射 脂肪成分 低回声 肾错构瘤 强回声光团 混合回声

报告20例肾血管平滑肌脂肪瘤。12例B超检查者,8例呈强回声反射,3例混合回声,1例低回声。10例CT检查,由于脂肪在构成本病三种成分比例上的不同,呈现含脂肪密度与软组织密度混杂的低密度肿块,CT值偏低,甚至为负值。提示B超、CT对本病的诊断有重要价值,而以B超为首选。提出手术和保守治疗的原则,强调术者应术前亲自观看B超图象,特别注意不隆出肾表面的肿块,以防术中漏剜。

Report of 20 cases of renal angiomyolipoma. 12 cases of B-ultrasound, 8 cases showed strong echo reflex, 3 cases of mixed echo, 1 case of hypoechoic. 10 cases of CT examination, due to the composition of the composition of the fat in three different proportions, showing the density of fat and soft tissue density mixed low density mass, CT value is low, or even negative. Tip B-ultrasound, CT diagnosis of the disease has important value, but to B-preferred. Put forward the principle of surgery and conservative treatment, emphasizing that surgeons should personally see the B-ultrasound images before surgery, with special attention not to bulge the surface of the kidney mass to prevent leakage in surgery.