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目的:探讨巨大肾血管平滑肌脂肪瘤的诊断和手术效果。方法:回顾分析一例巨大肾血管平滑肌脂肪瘤经第2次手术成功切除的病例。结合文献复习,总结经验教训。结果:经过认真临床查体,完善的影像学检查,术前获得诊断。全麻下经腹手术顺利切除该肿瘤。术后随访1 a余恢复满意。结论:巨大肾血管平滑肌脂肪瘤依据病史、全面细致的临床和影像学检查,可以正确诊断。周密的术前准备,能提高手术成功率。
Objective: To investigate the diagnosis and surgical effect of huge renal angiomyolipoma. Methods: A case of giant renal angiomyolipoma resected successfully by the second operation was retrospectively analyzed. With the literature review, lessons learned. Results: After careful clinical examination, complete imaging examination, preoperative diagnosis. Abdominal surgery under general anesthesia to remove the tumor. Surgical follow-up more than 1 a recovery satisfaction. Conclusion: The huge renal angiomyolipoma based on medical history, comprehensive and detailed clinical and imaging studies, can be correctly diagnosed. Careful preoperative preparation, can improve the success rate of surgery.