摘要
目的 :探讨肾钙乳症的诊断与治疗方法。方法 :回顾性分析了 1 985~ 1 999年收治的肾钙乳症 9例的临床资料 ,9例均经 X线腹部平片和超声检查 ,7例行肾钙乳囊腔切除术 ,2例无特殊症状者作随访观察。结果 :确诊为肾钙乳症 5例 ,拟诊为肾钙乳症 2例 ,误诊 2例 ;7例手术者术后恢复良好 ,2例仍在随访中。结论 :本病的术前诊断主要依靠 X线检查 ,出现边缘光滑的圆形或椭圆形致密影 ,应考虑为本病的可能 ;对于病灶 <2 5mm无症状者 ,可随访观察 ;对于病灶 >2 5mm有症状者 ,应及早手术治疗 ,可作肾钙乳病灶切除术。
Purpose:To investigate the diagnosis and treatment of renal milk of calcium.Methods: The clinical data of 9 cases of renal milk of calcium hospitalized during 1985~1999 was reviewed retrospectively. All 9 cases received abdomen X ray examination and B ultrasonography. 7 cases underwent surgical resection of cyst of renal milk of calcium, and 2 cases without symptoms were treated by watchful waiting.Results:The diagnosis of renal milk of calcium was confirmed in 5 cases, and another 2 were proposed as having renal milk of calcium. 2 cases had been misdiagnosed. 7 cases who received operation had recovered smoothly, with 2 cases still in follow up. Conclusions:The diagnosis of this disease mainly dependents upon the findings of X ray examination. The management of this disease may differs according to the size of lesion: patients with a lesion more than 25mm and having symptoms should be operated on, otherwise may be treated by watchful waiting.
出处
《临床泌尿外科杂志》
2000年第8期351-352,共2页
Journal of Clinical Urology