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目的:报告1例肾门部肾脏神经鞘瘤患者的诊治经过,探讨其诊断及治疗选择,为罕见病例的治疗提供借鉴和指导。方法:分析1例肾门部肾神经鞘瘤患者的临床资料及诊治经过,查阅文献并进行分析讨论。结果:结合病史、查体及辅助检查结果,术前考虑该患者肾脏肿瘤诊断明确,行后腹腔镜左肾根治性切除术,术后患者恢复良好出院,病理证实为左肾神经鞘瘤。结论:肾门部肾神经鞘瘤为泌尿外科罕见病例,对肾门部肾脏神经鞘瘤行后腹腔镜肾根治性切除术是可选术式。在确保手术安全的前提下,能最大程度减少创伤,改善疾病预后及患者生活质量。
OBJECTIVE: To report the diagnosis and treatment of 1 case of renal schwannoma in the renal hilus, and to provide a reference for the diagnosis and treatment of rare cases. Methods: One case of renal schwannoma in renal hilus was analyzed and analyzed. The literature was reviewed and analyzed. Results: Combined with medical history, physical examination and auxiliary examination results, the diagnosis of renal tumor was considered preoperatively. After radical retroperitoneal laparoscopic radical nephrectomy, the patients recovered well after operation and the pathology confirmed that they were left renal schwannoma. Conclusions: Renal schwannoma in renal hilum is a rare case of urology. Retroperitoneal laparoscopic radical nephrectomy for renal schwannoma in renal hilus is an optional procedure. In ensuring the safety of the premise, to minimize trauma and improve disease prognosis and quality of life of patients.