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目的探讨肾血管平滑肌脂肪瘤的诊断和治疗。方法回顾性对36例肾血管平滑肌脂肪瘤患者有关诊断和治疗的资料进行分析。结果36例患者均由B超和CT检查确诊,29例患者中肿瘤大于4cm者,28例行单纯性肾肿瘤剜除术,1例行肾切除术,术后病理诊断均是RAML,无恶变,术后恢复顺利出院。其余7例肿瘤小于4cm的RAML作随访观察3～5年均未见明显的变化。结论B超和CT检查诊断肾血管平滑肌脂肪瘤有很大的价值,治疗上以单纯性肾肿瘤剜除术为主,可达到良好的效果。
Objective To investigate the diagnosis and treatment of renal angiomyolipoma. Methods A retrospective analysis of 36 cases of renal angiomyolipoma patients with diagnosis and treatment of the data were analyzed. Results Thirty-six patients were diagnosed by B-mode ultrasonography and computed tomography (CT). Among the 29 patients, the tumors were larger than 4 cm, 28 were treated with simple nephrectomy and 1 with nephrectomy. The postoperative pathological diagnosis was RAML without malignant transformation , Postoperative recovery was successfully discharged. The remaining 7 cases of tumors less than 4cm RAML were followed up for 3 to 5 years showed no significant change. Conclusion B-ultrasound and CT examination of renal angiomyolipoma have great value, the treatment of simple kidney tumor surgery, can achieve good results.