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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。
Twenty cases of renal angiomyolipoma were treated since 1980. There were 7 males and 13 females, with an average age of 40 years. There were 26 tumors in total, 2 in both kidneys, 2 in multiple tumors in one kidney, 5 in less than 4 cm in diameter, 21 in more than 4 cm and 15 cm in 13 cm in most tumors. Before 1985, 7 cases were treated with nephrectomy. Of the 13 cases after 1985, only 2 cases had nephrectomy, 2 cases had partial nephrectomy, 6 cases had nephrectomy, 1 case had super selective arterial embolization, 2 Cases of conservative treatment. Recommendations in the treatment of this tumor, should be based on its size, location and specific technical conditions, select as much as possible to retain the function of renal tissue treatment, not easy for nephrectomy.