【摘要】 目的:探讨肾错构瘤(RAML)破裂出血的诊治方法。方法:回顾分析15例肾错构瘤破裂出血患者的临床资料。结果:15例肾错构瘤破裂出血均行B超和螺旋CT检查,B超诊断正确率为66.7%(10/15),螺旋CT为86.7%(13/15),术前未确诊2例。3例出血量少的保守治疗,2例行患肾部分切除术或肿瘤剜除术,2例行选择性动脉栓塞术,8例行肾切除术。结论:B超和螺旋CT是诊断肾错构瘤破裂出血的主要方法。治疗以手术和选择性动脉栓塞为主。更多还原

【Abstract】 Objective:To investigate the diagnosis and treatment of renal angiomyolipoma(RAML) with ruptured bleeding.Methods:The clinical data of 15 cases of RAML with ruptured bleeding were reviewed retrospectively.Results:All the 15 cases were diagnosed by ultrasonography and spiral CT.The positive diagnosis rate of ultrasonography was 66.7%(10/15) and that of spiral CT was 86.7%(13/15).2 cases were not diagnosed before operation.3 cases were treated conservatively,2 cases received partial nephrectomy or tumor enucleation,2 cases received selected transcatheter arterial embolization and 8 cases underwent nephrectomy.Conclusion:Ultrasonography and spiral CT for diagnosis of renal angiomyolipoma with rupture is advocated.The treatment of renal angiomyolipoma with rupture mainly depends on operation and selective arterial embolization.更多还原