CAJ | 학술논문

目的：总结双侧肾错构瘤的诊治方法和治疗效果,进一步提高对双侧肾错构瘤的诊断和治疗水平.方法对2001年至2012年期间在我院就诊的双侧肾错构瘤患者的临床资料和随访结果进行分析.结果共计6例巨大双侧肾错构瘤纳入分析,4例行分期肾部分切除术,1例一期行肾部分切除术,二期行介入栓塞治疗,另1例肿瘤破裂出血,行左肾切除术,但因出血休克死亡.5例患者术后病理检查均确诊为肾错构瘤,术后随访25~36个月,中位随访30个月,均未复发,肾功能仍处于正常范围.结论对于肿瘤未破裂出血的双侧肾错构瘤患者,双侧分期行肾部分切除术是一种安全有效的治疗方法,如行肾部分切除术困难,亦可选择介入栓塞治疗.
목적：총결쌍측신착구류적진치방법화치료효과,진일보제고대쌍측신착구류적진단화치료수평.방법대2001년지2012년기간재아원취진적쌍측신착구류환자적림상자료화수방결과진행분석.결과공계6례거대쌍측신착구류납입분석,4례행분기신부분절제술,1례일기행신부분절제술,이기행개입전새치료,령1례종류파렬출혈,행좌신절제술,단인출혈휴극사망.5례환자술후병리검사균학진위신착구류,술후수방25~36개월,중위수방30개월,균미복발,신공능잉처우정상범위.결론대우종류미파렬출혈적쌍측신착구류환자,쌍측분기행신부분절제술시일충안전유효적치료방법,여행신부분절제술곤난,역가선택개입전새치료.
Objective To summarize and improve our experiences in diagnosing and treatment of bilateral renal angiomyolipma. Methods We reviewed the clinical data and followed outcomes of patients with bilateral renal angiomyolipma who have received treatment in our hospital between 2001 and 2012. Results Six patients included our study.Four patients received bilateral partial nephrectomy.One patient underwent partial nephrectomy on one side and selective renal artery embolization on the oth-er side.Postoperative pathological examination confirmed the diagnosis of angiomyolipma.One pa-tients who had tumor rupture and severe bleeding received nephrectomy and finally died from shock. The other five patients were a followed from 25 to 60 months (median 30 months)after treatment and no patients got recurrence. Conclusions For patients who have bilateral renal angiomyolipoma, bilateral partial nephrectomy is a relatively safe and effective treatment method and for those partial nephrectomy is difficult,selective renal artery embolization can also be considered.