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《Chongqing Medicine》 2006-01
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Diagnosis and treatment of renal angiomyolipoma with spontaneous rupture:report of 13 cases

GOU Xin,HE Wei-yang,XIAO Min-zhao,et al.(Department of Urology,First Affiliated Hospital of Chongqing University of MedicalSciences,Chongqing,400016,China)  
Objective To study the methods for diagnosis and treatment of renal angiomyolipoma with spontaneous rupture.Methods The clinical data of 13 cases with renal angiomyolipoma rupture in our hospital were reviewed.All the patients were examined by ultrasonography.Ten of those were examined by CT scanning and three were examined by MRI.Eight received nephrectomy,five received partial nephrectomy,one of those received partial nephrectomy in other side renal after one side renal had received partial nephrectomy.Results Thirteen patients undergone surgical operation restored to health smoothly,the 5 patients received partial nephrectomy were heathy and had normal renal function.Conclusion Ultrasound is helpful to the diagnosis,CT scanning and MRI is the best diagnostic procedure which may confirm the character of the lesion and the range of bleeding.If the tumour exceeds 4cm,active treatment should be considered.Any operative management should preserve the functional nephrons as much as possible.Partial nephrectomy is a better choise for treatment of renal angiomyolipoma with spontaneous rupture.
【CateGory Index】: R737.11
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【Citations】
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【Co-citations】
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1 SUN Qing rong, HE Xiao rong, LIU Shi chen, CHEN Ken, WANG Guo bin (Department of Radiology, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, China);Imaging diagnosis of renal angiomyolipoma[J];Acta Academiae Medicine Militaris Tertiae;2000-12
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【Co-references】
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1 LIU Hui, JI Xiang rui, TANG Li ou, et al\ (Department of Pathology, The Affiliated Hospital of Qingdao University Medical College, Qingdao 266003, China)\;;CLINICAL PATHOLOGICAL AND MORPHOLOGIC ANALYSIS OF RENAL ANGIOMYOLIPOMA[J];Acta Acadimae Qingdao Umvesitatis;2003-03
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