CAJ | 학술논문

目的:提高肾血管平滑肌脂肪瘤的诊断和治疗水平.方法:对诊治的54例肾血管平滑肌脂肪瘤患者的临床资料及随访结果进行回顾性分析.按肿瘤直径大小分为A组(肿瘤直径<4cm)16例,B组(肿瘤直径≥4cm)38例.根据病变大小及症状分别采用观察随访、栓塞、肿瘤剜除、肾部分切除及肾切除术.结果:A组中14例无任何症状(87.50%),未行手术干预;2例(12.50%)有症状,行肿瘤剜除术.B组均行手术治疗.其中行肿瘤剜除术14例,行肾部分切除术17例,行肾切除术7例.所有病例术后病理检查均证实为肾血管平滑肌脂肪瘤.随诊患者肿瘤无进展及恶变.结论:肿瘤直径<4 cm的患者多无临床症状,可临床随访;对有症状及肿瘤直径≥4 cm的患者应积极手术治疗,治疗应尽可能最大程度保留患肾的功能.
목적:제고신혈관평활기지방류적진단화치료수평.방법:대진치적54례신혈관평활기지방류환자적림상자료급수방결과진행회고성분석.안종류직경대소분위A조(종류직경<4cm)16례,B조(종류직경≥4cm)38례.근거병변대소급증상분별채용관찰수방、전새、종류완제、신부분절제급신절제술.결과:A조중14례무임하증상(87.50%),미행수술간예;2례(12.50%)유증상,행종류완제술.B조균행수술치료.기중행종류완제술14례,행신부분절제술17례,행신절제술7례.소유병례술후병리검사균증실위신혈관평활기지방류.수진환자종류무진전급악변.결론:종류직경<4 cm적환자다무림상증상,가림상수방;대유증상급종류직경≥4 cm적환자응적겁수술치료,치료응진가능최대정도보류환신적공능.
Objective:To improve the diagnosis and treatment level of renal angiomyolipoma. Method:A retrospective analysis was made on the clinical data and follow-up of 54 cases of renal leiomyolipoma we treated. The cases were classified as two groups based on the diameter of tumor .GroupA (<4cm)in 16 cases and Group B(≥4cm)in 38 cases . Based on the symptoms or the size of the tumor,we adopted therapeutic measures including observation and follow-up,embolization,tumor enucleation,partial or total nephrectomy respectively. Result:In Group A,14(87.50%)patients were asymtomatic,and were followed up without surgical intervention;2(12.50%)patients had undergone tumor enucleation. In Groups B,all cases had lined surgical intervention,including tumor enucleation in 14 cases,partial nephrectomy in 17 cases,total nephrectomy in 7 cases,selective emergency arterial embolization in 1 case. All cases were confirmed by pathology after operation. The tumor of follow-up patients weren’t development and malignant transformation. Conclusion:The patients with tumor diameter less than 4cm are likely to be asymtomatic and should be observed from follow-up;then those tumor diameter are equal or greater than 4 cm ,surgery is necessary. Treatment should be retained as far as possible to the greatest extent with suffering renal’s function.