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目的 总结肾血管平滑肌脂肪瘤的诊断与治疗 ,为临床诊治提供参考。方法 总结 2 8例肾血管平滑肌脂肪瘤的诊断及治疗经验 ,所有病人根据病变大小及症状分别采取观察、肿瘤切除、肾部分切除及肾切除术 ,分析它们的诊断 ,治疗方法的选择 ,鉴别诊断的依据 ,随访了解所有病人的预后。结果 2 8例患者中肿瘤切除术 10例 ,肾部分切除术 12例 ,4例行肾切除术 ,2例患者观察 ,2 3例获随访 ,未见复发及转移。结论 肾血管平滑肌脂肪瘤的诊断主要依靠B超、CT检查明确诊断 ,根据病变大小和症状可分别选择观察、肿瘤切除、肾部分切除及肾切除术 ,应尽量避免行肾切除治疗 ,肾血管平滑肌脂肪瘤的治疗效果良好。
Objective To summarize the diagnosis and treatment of renal angiomyolipoma and provide reference for clinical diagnosis and treatment. Methods The diagnosis and treatment experience of 28 patients with renal angiomyolipoma were summarized. All patients were observed according to the size and symptoms of the lesion. Tumor resection, partial nephrectomy and nephrectomy were analyzed. Their diagnosis, treatment options and differential diagnosis were analyzed The basis for follow-up to understand the prognosis of all patients. Results Tumor resection was performed in 10 of 28 cases, in 12 cases of partial nephrectomy, in 4 cases of nephrectomy. In 2 cases, 23 cases were followed up and no recurrence and metastasis were found. Conclusions The diagnosis of renal angiomyolipoma mainly depends on the diagnosis of B-ultrasound and CT. According to the size and symptoms of the lesion, we can choose the observation, tumor resection, partial nephrectomy and nephrectomy respectively. Nephrectomy, renal vascular smooth muscle Lipoma treatment is good.