van Baal J G, Lips P, Luth W, Bakker P, Davis G, Karthaus P, Voorwinde A, Dabhoiwala N F, Fleury P, Brummelkamp W H
Department of Surgery, Academic Medical Centre, Amsterdam, The Netherlands.
Neth J Surg. 1990 Jun;42(3):72-7.
Successful percutaneous transcatheter embolization of renal angiomyolipoma is reported in four female patients. The angiomyolipomas measured more than 4 cm in diameter. Three patients had severe haemorrhage and one patient had a growing angiomyolipoma in a solitary kidney. This patient had percutaneous transcatheter embolization to prevent further deterioration of kidney function. Three patients had multiple renal angiomyolipomas as part of tuberous sclerosis. Two of them had selective transcatheter embolization of more than one angiomyolipoma. After embolization, one patient had partial loss of kidney function and one patient developed an abscess that could successfully be drained percutaneously under ultrasound guidance. The following conclusions can be drawn. All patients with tuberous sclerosis should be screened for renal angiomyolipomas. All symptomatic renal angiomyolipomas and all angiomyolipomas that measure more than 4 cm in diameter require treatment. Embolization should be considered as a primary therapeutic modality for multiple angiomyolipomas.
本文报道了4例女性患者成功进行经皮肾血管平滑肌脂肪瘤导管栓塞术的病例。这些血管平滑肌脂肪瘤直径均超过4厘米。3例患者出现严重出血，1例患者在孤立肾中患有不断增大的血管平滑肌脂肪瘤。该患者接受经皮肾血管平滑肌脂肪瘤导管栓塞术以防止肾功能进一步恶化。3例患者患有多发性肾血管平滑肌脂肪瘤，作为结节性硬化症的一部分。其中2例患者对不止一个血管平滑肌脂肪瘤进行了选择性经导管栓塞术。栓塞术后，1例患者出现部分肾功能丧失，1例患者形成脓肿，在超声引导下可成功进行经皮引流。可以得出以下结论。所有结节性硬化症患者均应筛查肾血管平滑肌脂肪瘤。所有有症状的肾血管平滑肌脂肪瘤和所有直径超过4厘米的血管平滑肌脂肪瘤均需要治疗。对于多发性血管平滑肌脂肪瘤，应考虑将栓塞术作为主要治疗方式。
