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目的提高肾素瘤的诊断和治疗水平。方法回顾分析收治1例肾素瘤患者的临床资料,结合文献复习进行讨论。结果患者表现有高血压、高肾素、高醛固酮血症和低血钾,行保留肾单位的肾肿瘤切除术,术后病理示:肾素瘤。患者术后血压、血浆肾素、醛固酮和血钾等恢复正常,随访1年未见肿瘤复发及高血压再发。结论肾素瘤为罕见的良性肾脏肿瘤,肿瘤根治性切除效果满意,预后良好。
Objective To improve the diagnosis and treatment of renin tumor. Methods The clinical data of 1 patient with renin tumor were retrospectively analyzed and discussed in combination with the literature review. Results The patients showed high blood pressure, high renin, hyperaldosteronism, and hypokalemia. Renal nephrectomy was performed with nephron preservation. Postoperative pathology showed that renin tumor. Postoperative patients with blood pressure, plasma renin, aldosterone and potassium returned to normal, no follow-up of 1 year tumor recurrence and hypertension recurrence. Conclusion Renin’s tumor is a rare benign renal tumor. The radical resection of tumor is satisfactory and the prognosis is good.