【摘要】 目的:提高对肾脏炎性假瘤(RIP)的认识及诊治水平。方法:回顾性分析我院近年来诊治的9例RIP患者的临床资料,并结合文献复习探讨RIP的诊治方法。结果:9例患者中,5例误诊为肾癌,行肾切除术;1例误诊为肾盂癌,行肾、输尿管、膀胱切除术;3例经穿刺病理活检证实为炎症,行抗炎治疗后痊愈。密切随访1~6年,6例行切除术的患者中,3例未见肿瘤复发;3例确诊的患者也未见肿瘤复发。结论:RIP诊断困难,临床上极易误诊,细针穿刺活检是其确诊的主要依据。更多还原

【Abstract】 Objective:To improve the diagnosis and treatmeant of renal inflammatory pseudotumor(RIP).Methods:We analyzed the clinical datqa of 9 cases of RIP and discussed the diagnosis and treatmeant combinning with literature.Results:Nephrectomies were conducted in 5 of 9 cases because of being misdiagnosed as renal cancer;1 casereceived nephroureterocystectomy because of being misdiagnosed as carcinoma of renal pelvis;the other 3 were correctively diagnosed by fine needle aspiration cytology and cured by antibiotics without recurrence on following-up for 1~6 years.Conclusions:It is common that this benign lesion be misdiagnosed as malignancy.Fine needle aspiration cytology is useful for making preoperatively diagnosis.更多还原