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目的对肾结石并发肾肿瘤的临床表现及其早期诊治方法进行研究。方法通过对2010年1月至2011年6月期间我院收治的肾结石并发肾肿瘤患者资料进行分析与讨论。结果 24例患者中,有8例是通过术前检查确诊患有肾结石并发肾肿瘤,6例是术中确诊的,另有10例是在手术后的病检过程中发现。结论目前国内肾结石并发肾肿瘤的术前诊断率还相对较低,对于肾结石并发肾肿瘤要早期诊断,及时治疗。那些无故消瘦、长期低热、贫血、血沉增快的肾结石患者应引起我们的怀疑与重视,应对其做详细检查。应高度重视那些近期出现腰痛加重、突发的腰部巨痛、血尿加重、肾积水加重及贫血的患者,其发生肿瘤出血的可能较大。
Objective To study the clinical manifestations and early diagnosis and treatment of renal tumors complicated with kidney stones. Methods Through January 2010 to June 2011 in our hospital admitted to our hospital kidney stones complicated with renal tumor patient data analysis and discussion. Results Of the 24 patients, 8 were confirmed by preoperative examination with kidney stones and renal tumors, 6 were diagnosed intraoperatively, and 10 were found during postoperative pathological examination. Conclusions At present, the preoperative diagnosis rate of kidney nephrolithiasis in China is relatively low. Early diagnosis and timely treatment of nephrolithiasis with renal tumors should be performed. Patients with unexplained weight loss, long-term fever, anemia and ESR should arouse our suspicion and attention and should be examined in detail. Should attach great importance to the recent emergence of lower back pain, sudden waist pain, increased hematuria, hydronephrosis and anemia in patients, the occurrence of tumor bleeding may be greater.