肾血管平滑肌脂肪瘤的治疗：手术与血管栓塞术对比
Treatment of renal angiomyolipoma: surgery versus angioembolization.
作者信息
Urciuoli P, D'Orazi V, Livadoti G, Foresi E, Panunzi A, Anichini S, Cialini M, Wlderk A, Cirelli C, Colangelo M, Mongardini M, Custureri F
出版信息
G Chir. 2013 Nov-Dec;34(11-12):326-31.
Abstract
Renal angiomyolipoma (AML) is a benign mesenchymal tumour. AML often leads to haemorrhagic complications such as retroperitoneal haematoma. Treatment varies from case to case, ranging from minimally invasive approaches such as selective embolization of the renal artery to invasive wedge resection, partial nephrectomy or, in more severe cases, radical nephrectomy. Here we report a case of retroperitoneal haematoma secondary to AML, treated with conservative approach by super-selective embolization of the lower-pole segmental renal artery.
摘要
肾血管平滑肌脂肪瘤（AML）是一种良性间叶组织肿瘤。AML常导致出血性并发症，如腹膜后血肿。治疗方法因病例而异，从微创方法（如肾动脉选择性栓塞）到侵入性楔形切除术、部分肾切除术，在更严重的情况下甚至是根治性肾切除术。在此，我们报告一例由AML继发的腹膜后血肿病例，通过超选择性栓塞肾下极段动脉采用保守方法进行治疗。
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