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目的探讨自发性肾周出血(SPH)的病因、临床诊断及治疗。方法对7例SPH患者临床资料进行回顾性分析。男3例,女4例。左侧4例,右侧3例。腰腹部疼痛7例,腰腹部包块3例,休克3例,肉眼血尿2例。结果 7例患者中,急诊行单纯肾切除术3例,根治性肾切除术1例,择期行肾盂切开取石1例,肾囊肿去顶减压术1例及保守治疗1例。病理诊断肾血管平滑肌脂肪瘤3例,肾腺癌1例,肾囊肿1例。7例均痊愈出院。结论 SPH临床症状取决于出血程度和持续时间,主要表现为腰腹部疼痛。CT是诊断SPH的首选方法,治疗方案主要根据原发病的诊断及出血情况决定。
Objective To investigate the etiology, clinical diagnosis and treatment of spontaneous perirenal hemorrhage (SPH). Methods The clinical data of 7 patients with SPH were retrospectively analyzed. 3 males and 4 females. 4 cases on the left and 3 cases on the right. Waist and abdomen pain in 7 cases, 3 cases of lumbar and abdominal mass, shock in 3 cases, gross hematuria in 2 cases. Results Of the 7 patients, 3 cases underwent radical nephrectomy, 1 case underwent radical nephrectomy, 1 case underwent pelvic incision, 1 case underwent renal cyst decompression and 1 case under conservative treatment. Pathological diagnosis of renal angiomyolipoma in 3 cases, 1 case of renal adenocarcinoma, 1 case of renal cysts. Seven cases were cured. Conclusion The clinical symptoms of SPH depend on the degree and duration of bleeding, mainly manifested as waist and abdominal pain. CT is the preferred method of diagnosis of SPH, treatment mainly based on the diagnosis of the primary disease and bleeding decisions.