摘要
目的：探讨肾错构瘤破裂的临床特点、诊断和治疗方法。方法：回顾性分析2003年1月～2012年12月收治的肾错构瘤破裂出血者33例临床资料，男15例，女18例，年龄16～62岁，平均39岁。33例多因腰腹部疼痛不适或肉眼血尿入院。疼痛多表现为胀痛。首诊中以无诱因腰腹部疼痛入院者28例，其中突发性疼痛者14例，单纯性血尿3例，疼痛伴发血尿4例，血尿伴感染2例，外伤致血尿者2例。21例采用肾脏手术治疗，12例采用保守方法治疗。结果：2l例手术者均获得成功，术后恢复良好，无明显异常并发症。术后均证实为错构瘤。结论：肾错构瘤存在自发性破裂的可能，外伤亦能诱发瘤体破裂。瘤体直径〈4cm时，破裂出血几率较小；直径超过4cm时，自发性破裂的发生牢明显增加。超声和增强CT检查是诊断肾错构瘤的有效方法。
Objective： To investigate the clinical feature dialnosis and treatment of renal hamartoma rupture. Methods：A retrospective analysis of clinical data of 33 cases renal hamartoma rupture was performed from January 2003 to December 2012, including male 15 cases, female 18 cases, aged 16-62 years, an average of 39 years. Most of 33 cases see a doctor duing to lumbar abdominal discomfort or the naked eye hematuria. Most of pain are dull pain. All of the hospitalized patients, there ar,e 28 cases duing to abdominal pain, including 14 cases of sudden pain. In addition, there are 3 cases simple hematuria, pain with hematuria are 4 cases. Blood in the urine with in- fection are 2 cases. And 2 cases traumatic cause blood in the urine. Surgical operation was performed in21 cases, and 12 cases were treated with conservative methods. Results： Operation were successful in 21 cases, postoperative recovery is good, and without significant complications. All of them were confirmed hamartoma after surgery. Conclusions：Renal hamartoma can spontaneous rupture, and injury also induce tumors to rupture. When tumors diameter is less than 4 cm, the possibility of rupture is lower. Thus, when diameter is more than 4 cm, the possi- bility is very higher. Ultrasound and enhancement CT examination is an effective method in diagnosis of renal hamartoma.
出处
《临床泌尿外科杂志》
2013年第6期419-420,共2页
Journal of Clinical Urology
关键词
肾肿瘤
错构瘤
破裂
诊断
治疗
renal neoplasms
angiomyolipomas
rupture
diagnosis
treatment
