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目的探讨肾错构瘤的诊治方法。方法回顾性分析16例肾错构瘤的诊治情况。结果 16例肾错构瘤均行B超检查,均发现肾脏肿块,其中13例提示肾错构瘤,3例提示肾癌,肿瘤直径为3~8cm。13例行KUB及IVP检查,其中10例提示肾占位性改变,3例无明显异常X征象。15例行CT扫描均发现肿瘤,其中13例诊断为肾错构瘤,1例诊断为肾癌,1例诊断为肾盂癌。14例行手术,病理证实为肾错构瘤,1例因直径<3cm而未手术予以观察,1例肿瘤直径>8cm而行选择性肾动脉栓塞术。结论肾错构瘤诊断主要依靠B超和CT检查。治疗方法取决于瘤体的大小,直径≤4cm可保守治疗,>4cm以手术为主,手术时尽量保留正常肾组织。
Objective To investigate the diagnosis and treatment of renal hamartoma. Methods Retrospective analysis of 16 cases of renal hamartoma diagnosis and treatment. Results All the 16 cases of renal hamartoma were examined by B-mode ultrasonography. Renal masses were found in 13 cases, of which 13 cases were renal hamartoma and 3 cases were renal carcinomas. The tumor diameter was 3 ~ 8 cm. Thirteen patients underwent KUB and IVP examinations, of which 10 patients had renal space-occupying changes and 3 had no abnormal X signs. Tumors were found in 15 cases of CT scan, 13 cases were diagnosed as renal hamartoma, 1 case was diagnosed as renal cancer, and 1 case was diagnosed as renal pelvis cancer. 14 cases of surgery, pathological confirmed renal hamartoma, 1 case due to the diameter of <3cm without surgery to be observed, 1 case of tumor diameter> 8cm and the line of selective renal artery embolization. Conclusion The diagnosis of renal hamartoma mainly depends on B ultrasound and CT. Treatment depends on the size of the tumor, the diameter of 4cm can be conservative treatment,> 4cm mainly surgery, surgery try to retain the normal kidney tissue.