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目的 :探讨肾血管肌脂瘤的治疗方法。方法 :45例患者中 2 3例未作特殊治疗 ;6例超选择性动脉栓塞治疗、 7例行肿瘤剜除术或肾部分切除术、 9例行全肾切除术。结果 :随访 2 1例 ,平均随访时间 3 6a。未作特殊治疗的病例中未发生肿瘤破裂出血 ,2例肿瘤体积增大但仍无症状 ;超选择性动脉栓塞病例无症状复发、无破裂出血、肾功能稳定。手术患者均保持肾功能稳定 ,无肿瘤复发。结论 :对本病应采取保守性治疗原则。超选择性肾动脉栓塞是简单、有效的治疗方法 ,适用于各种体积的有症状肾血管肌脂瘤 ,是优先选择方案。对诊断不明确的不典型肾血管肌脂瘤 ,开放手术既能达到治疗目的又可提供组织学诊断。
Objective: To investigate the treatment of renal angiomyolipoma. Methods: Twenty-three of 45 patients were treated with no special treatment. Six patients were treated by superselective arterial embolization. Tumor resection or partial nephrectomy was performed in 7 patients and radical nephrectomy in 9 patients. Results: Twenty-one cases were followed up for an average of 3 years. No cases of specific treatment of tumor rupture occurred in patients with bleeding, two cases of tumor size but still asymptomatic; super-selective arterial embolism no recurrence of symptoms, no rupture of bleeding, renal function and stability. Surgery patients have maintained stable renal function, no tumor recurrence. Conclusion: The principle of conservative treatment of this disease should be taken. Super selective renal artery embolization is a simple and effective treatment for all sizes of symptomatic renal angiomyolipoma, is the preferred option. On the diagnosis is not clear atypical renal angiomyolipoma, both open surgery can achieve the purpose of treatment can provide histological diagnosis.