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目的报道球囊辅助下治疗肾血管平滑肌脂肪瘤伴下腔静脉瘤栓1例,结合文献复习加深对此病的认识。方法 20岁女性患者,术前影像学检查提示右肾巨大肿瘤伴下腔静脉瘤栓,在球囊辅助阻断下行右肾切除及下腔静脉取栓术。结果病理报告为右肾血管平滑肌脂肪瘤,伴下腔静脉瘤栓,长6.5 cm,术后随访1年未见复发。结论球囊辅助阻断下腔静脉可用于治疗肾血管平滑肌脂肪瘤伴下腔静脉瘤栓。
Objective To report a balloon-assisted treatment of renal angiomyolipoma with inferior vena cava tumor suppository in 1 case, combined with literature review to deepen the understanding of the disease. Methods A 20-year-old female patient underwent preoperative imaging examinations showing a large right renal tumor with inferior vena cava tumor thrombus and a right-kidney resection and inferior vena cava thrombectomy with balloon-assisted occlusion. Results The pathological report was right renal angiomyolipoma, with inferior vena cava tumor thrombus, 6.5 cm long. No recurrence was observed after one year of follow-up. Conclusions Balloon-assisted occlusion of the inferior vena cava can be used to treat renal angiomyolipoma with inferior vena cava tumor thrombus.