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肾血管平滑肌脂肪瘤治疗方式探讨(附20例分析) 被引量:27

An approach to the treatments to renal angiomyolipoma(Analysis of 20 cases)
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摘要 1980年以来收治肾血管平滑肌脂肪瘤20例。其中男7例,女13例,平均年龄40岁。肿瘤总数26个,双肾均有肿瘤者2例,一侧肾有多个肿瘤者2例,直径小于4cm者5例,大于4cm者21例,肿瘤最大者15cm×13cm×l0cm。1985年前收治7例,全部行肾切除,1985年以后的13例,仅2例行肾切除,2例行肾部分切除,6例行肿瘤剜除,1例行超选择性动脉栓塞,2例保守治疗。建议在处理这种肿瘤时,应根据其大小,位置和具体的技术条件,选择尽可能多的保留功能肾组织的治疗方法,不要轻易作肾切除。 Presented here were 20 cases of renal angioma of which 7 were male and 13 female,aged between 24~48 years,averaging 40 years.A total of 26 tumors were diagnosed.2 patients had bilateral renal involvement and 2 had multiple lesions in one kidney 5 of the 26 tumors were less than 4 cm in diameter and the rest were larger.The biggest was 15cm×13cm×10cm.Nephrectomy was performed on the 7 patients admitted before 1985.Of the 13 patients admitted after 1985 2 underwent nephrectomy,2 partial nephrectomy'6 tumoral enucleation,1 superselective renal arterial embolization and 2 conservative management.It is suggested that more functional renal tissue can be preserved,by such a technique as tumoral enucleation or superselective embolization,according to the size and location of lesions and the technique available.Nephrectomy should be avoided if possible.
出处 《中华泌尿外科杂志》 CAS CSCD 北大核心 1995年第8期475-476,共2页 Chinese Journal of Urology
关键词 肾肿瘤 剜除术 栓塞.治疗性 Kidney neoplasms Enucleation Embolization therapeutic
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参考文献3

  • 1赵伟鹏,中华泌尿外科杂志,1987年,9卷,344页 被引量:1
  • 2邵明忠,同济医科大学学报,1986年,6卷,442页 被引量:1
  • 3陈承志,中华泌尿外科杂志,1985年,6卷,86页 被引量:1

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