肾错构瘤自发破裂10例临床诊治分析

Diagnosis and treatment of renal hamartoma with spontaneous rupture: a report of 10 cases

摘要: 目的:探讨肾错构瘤自发性破裂的临床诊断和治疗方法。方法:对10例肾错构瘤自发性破裂出血患者均行B超及CT检查,其中7例另行CT增强扫描;均行手术切除患肾。结果:10例均痊愈出院。术后病理示肾血管平滑肌脂肪瘤9例,肾血管平滑肌脂肪瘤伴部分恶变1例。结论:B超和CT是确诊肾错构瘤的有效而简便的方法,手术切除患肾是治疗肾错构瘤的主要方法,部分病例可以行保留肾单位的肿瘤切除术。

Abstract: Objective: To study the diagnosis and treatment of spontaneous rupture of renal hamartoma.Methods: Ten cases of renal hamartoma rupture were received B ultrasound and CT scan,and 7 of them received contrast enhancement computerized tomography.All the 10 cases were performed nephrectomy.Results: All the cases were recovered well after operation.Nine cases were confirmed to be renal hamartoma by pathology after operation and 1 case proved to be renal hamartoma with partial canceration.Conclusions: B ultrasound and CT scan are effective and simple means to make final diagnosis of renal hamartoma.The main therapy is nephrectomy,and sometimes nephron-sparing surgery can be adopted.