CAJ | 학술논문

目的总结临床诊治非肾癌肾实质实性占位的经验,提高非肾癌肾实质实性占位的诊治水平.方法回顾性分析经临床或病理诊断为非肾癌肾实质实性占位的58例患者的临床资料.结果根据58例非肾癌肾实质实性占位患者的病例特点,予46例患者行手术治疗.手术效果确切.结论非肾癌肾实质实性占位常规临床实验室检查和影像学检查术前常难以做出准确诊断,术中冰冻病理结果对诊断及具体手术方案的制定很有帮助.对于诊断为错构瘤和肾嗜酸性细胞瘤的患者,可适当放宽肾脏部分切除的手术适应证,尽量减少肾切除手术.
목적 총결림상진치비신암신실질실성점위적경험,제고비신암신실질실성점위적진치수평.방법 회고성분석경림상혹병리진단위비신암신실질실성점위적58례환자적림상자료.결과 근거58례비신암신실질실성점위환자적병례특점,여46례환자행수술치료.수술효과학절.결론 비신암신실질실성점위상규림상실험실검사화영상학검사술전상난이주출준학진단,술중빙동병리결과대진단급구체수술방안적제정흔유방조.대우진단위착구류화신기산성세포류적환자,가괄당방관신장부분절제적수술괄응증,진량감소신절제수술.
Objectives To summarize the experience and to improve the level of diagnosing and managing nonepithelial renal tumor.Methods The clinical data of 58 cases no nepithelial renal tumor confirmed by operation and pathology examination were analyzed.Results On the basis of 58 cases nonepithelial renal tumor's characteristic,give 46 cases the treatment of operation.The curative effect is corroboration.Conclusion nonepithelial renal tumor is difficult to diagnose with laboratory observation and image examination.Conclusions The result of pathology examination during operation could only be useful for a definite diagnosis.When confirmed by pathology examination,partial nephrectomy was encouraged to remove the renal oncocytoma and renal angiomyolipoma.Complete nephrectomy should be avoided.