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目的提高巨大肾血管平滑肌脂肪瘤自发性破裂出血的诊疗水平。方法回顾性分析4例巨大肾血管平滑肌脂肪瘤自发性破裂出血的诊治资料。结果 4例患者均行外科手术治疗,其中1例行全肾切除术,3例行肾部分切除术。结论 B超及CT是诊断本病的有效方法,两者结合可大大提高诊断的准确率,尽早手术探查是首选治疗手段,术中尽可能多的保留肾单位。
Objective To improve the diagnosis and treatment of spontaneous rupture of giant renal angiomyolipoma. Methods A retrospective analysis of 4 cases of giant renal angiomyolipoma spontaneous rupture of bleeding diagnosis and treatment of data. Results All the 4 patients underwent surgical treatment. Among them, 1 received nephrectomy and 3 received partial nephrectomy. Conclusion B ultrasound and CT are effective methods to diagnose this disease. The combination of the two can greatly improve the accuracy of diagnosis. Surgical exploration as soon as possible is the first choice of treatment. Intraoperative as much as possible to retain nephron.