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目的探讨肾血管瘤及肾窦血管瘤的诊疗方法。方法分析我院近十年来收治的肾血管瘤5例及肾窦血管瘤1例的诊治经验及复习文献。结果肾血管瘤患者6例,其中1例止血后出院,2例超选肾动脉栓塞,1例肾切除。1例动态观察。1例肾窦血管瘤行肾窦血管瘤切除术。结论对肾肿瘤患者,如果CT或B超示肾脏及肿瘤体积并不显著增大,且长期反复血尿患者应考虑肾血管瘤可能性,必要时做DSA检查以明确诊断。体积较大的肾肿瘤,占据肾脏大部分者,如对侧肾功能正常,应首选肾切除。肿瘤体积不大,患肾大部分为正常肾组织的,可采取保留肾脏治疗。行肾肿瘤切除或肾部分切除术。对于体积较小的肾血管瘤,采取介入治疗手段,以seldinger技术选择性与超选择性进行肾动脉及肿瘤动脉栓塞,可取得良好疗效。
Objective To investigate the diagnosis and treatment of renal hemangiomas and renal sinus hemangiomas. Methods The diagnosis and treatment experience of 5 cases of renal hemangiomas and 1 case of renal sinus hemangioma admitted to our hospital over the past decade and the review literature were analyzed. Results Renal hemangiomas in 6 cases, of which 1 case was discharged after hemostasis, 2 cases of superselective renal artery embolization, 1 case of nephrectomy. 1 case of dynamic observation. One case of renal sinus hemangioma underwent sinus angiomyolotomy. Conclusion In patients with renal tumors, if the CT or B ultrasound showed no significant increase in kidney and tumor volume, and long-term patients with hematuria should consider the possibility of renal hemangiomas, DSA if necessary to confirm the diagnosis. Larger kidney tumors, accounting for most of the kidneys, such as normal contralateral renal function, should be the preferred choice of nephrectomy. Tumor size is not large, most of the kidney for normal renal tissue, can be taken to retain the kidney treatment. Renal tumor resection or partial nephrectomy. For smaller renal hemangiomas, to take interventional therapy, with seldinger selective and selective surgical renal artery and tumor artery embolization, can achieve good results.