干旱区生态环境知识资源中心(Arid): 泌尿系血管瘤的诊断与治疗(附20例报告)

Arid

	泌尿系血管瘤的诊断与治疗(附20例报告)
其他题名	Diagnosis and treatment of the urinary hemangioma(report of 20 cases)
	秦自科 1; 周芳坚 1; 梅骅 2; 丘少鹏 2; 曾国华 3; 韩辉 1; 刘卓炜 1
来源期刊	中华泌尿外科杂志
ISSN	1000-6702
出版年	2004
卷号	25 期号:1 页码:53-55
中文摘要	目的探讨泌尿系各部位血管瘤的诊断和治疗方法. 方法血管瘤患者20例,血管瘤发生于肾脏5例、输尿管2例、膀胱10例、尿道4例;其中发生于膀胱和尿道者1例,膀胱和头颈部者1例,尿道和会阴部者1例.术前诊断主要采用B超、CT、IVU及内窥镜检查等.手术治疗19例(95%),1例尿道血管瘤者行激光治疗. 结果肾、输尿管、膀胱和尿道血管瘤术前确诊分别为0、1、9和4例.病理类型:海绵状血管瘤13例,毛细血管瘤6例,蔓状血管瘤1例.随访9个月～16年,1例膀胱多发性血管瘤手术后1年复发. 结论泌尿系血管瘤的诊断主要依靠内镜检查,肾实质或肾表面血管瘤的诊断主要靠影像学检查;治疗以手术为主.
英文摘要	Objective To explore the diagnostic and therapeutic methods for hemangioma in differ-ent parts of the urinary system. Methods Twenty patients with urinary hemangiomas were enrolled in this study. Of them 5 cases had hemangiomas in the kidney, 2 in the ureter, 10 in the bladder and 4 in urethra. Three oases (15%) had multiple hemangiomas in different parts of the body, of whom 1 case had hemangio-mas concomitantly in the bladder and urethra, 1 case in the bladder and neck, and 1 ease in the urethra and perineum. Modalities of diagnosis before operation included B ultrasound, CT, IVU, endoscopy, et al. Surgical operations were the major treatment (95%), and only 1 patient with urethral hemangioma underwent lasar therapy. Results The pre-operation confirmed diagnosis was 0、1、9 and 4 cases for hemangiomas in kid-ney ,ureter,bladder and urethra,respectively. For pathologic classification 13 cases were of cavernous heman-giomas, 6 of capillary and 1 of racemose. With follow-up of 9 months to 16 years, recurrent bladder hemangio-ma was found in one patient. Conclusions The diagnoses of urinary hemangiomas mainly rely on endos-copy, but for the diagnosis of parenchyma or surface hemangioma of kidney conventional imaging examination is essential. Surgical operations were the major treatment for urinary hemangiomas, but different modalities of treatment are needed for different sites and nature of hemangiomas.
中文关键词	泌尿系疾病 ; 血管瘤 ; 诊断 ; 治疗学
英文关键词	urologic diseases hemangioma diagnosis therapeutics
语种	中文
国家	中国
收录类别	CSCD
WOS类目	SURGERY
WOS研究方向	Surgery
CSCD记录号	CSCD:1567770
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/205825
作者单位	1.中山大学附属肿瘤医院泌尿外科, 广州, 广东 510060, 中国; 2.中山大学附属第一医院泌尿外科; 3.广州医学院附属第一医院泌尿外科
推荐引用方式 GB/T 7714	秦自科,周芳坚,梅骅,等. 泌尿系血管瘤的诊断与治疗(附20例报告)[J],2004,25(1):53-55.
APA	秦自科.,周芳坚.,梅骅.,丘少鹏.,曾国华.,...&刘卓炜.(2004).泌尿系血管瘤的诊断与治疗(附20例报告).中华泌尿外科杂志,25(1),53-55.
MLA	秦自科,et al."泌尿系血管瘤的诊断与治疗(附20例报告)".中华泌尿外科杂志 25.1(2004):53-55.