Bischoff W, Pohle W, Goerttler U
J Urol. 1979 Dec;122(6):825-8. doi: 10.1016/s0022-5347(17)56623-9.
Angiomas of the kidney are benign vascular dysplasias, which usually can be identified angiographically. If there are no clinical symptoms treatment is not necessary. In cases of hematuria and/or hypertension either intra-arterial superselective embolization seems to cause less functional loss of the renal parenchyma, whereas excision often leads to heminephrectomy or even total nephrectomy. Even if the angioma is initially not completely embolized followup study to 2 years has shown complete occlusion of the angioma, either owing to inflammatory reactions or redistribution of blood flow and diminished blood pressure. Two cases of renal angiomas are presented. Treatment consisted of intra-arterial superselective embolization in 1 case and surgical clipping of the supplying arterial branch in the other.
肾血管瘤是良性血管发育异常，通常可通过血管造影识别。如果没有临床症状，则无需治疗。对于血尿和/或高血压患者，动脉内超选择性栓塞似乎导致肾实质功能损失较小，而切除往往导致半肾切除术甚至全肾切除术。即使血管瘤最初未完全栓塞，随访2年显示血管瘤完全闭塞，这可能是由于炎症反应或血流重新分布以及血压降低所致。本文介绍了2例肾血管瘤病例。1例采用动脉内超选择性栓塞治疗，另1例采用手术夹闭供血动脉分支治疗。
