Raum angiomyolipoma - ua, cov tsos mob, kev kho mob.

Raum angiomyolipoma - ib qho ntawm feem ntau benign qog ntawm lub raum. Qhov no mob muaj los ntawm mesenchymal nqaij, thiab yog ua los ntawm cov hlab ntsha, tus nqaij thiab adipose ntaub so ntswg, vim hais tias ntawm nws cov muaj pes tsawg leeg thiab tus kab mob no tau raug hu ua - angiomyolipoma ob lub raum. Du nqaij cell hlav yog benign thiab quas khaubncaws sab nraud povtseg ntawm bundles thiab cov hlab ntsha muaj ib tug txaus tuab npag phab ntsa, tab sis tsis muaj zog elastic daim hlau. Ntxiv mus, cov hlab ntsha ntawm lub qog yuav ntawd nraus - vim lub fact tias cov nqaij fibers loj hlob thiab kev loj hlob sai npaum li cas cov hlab ntsha uas yog physiologically tej zaum yuav tsis loj hlob nyob rau tib lub npaum li cas thiab lub sij hawm rau lawv.

Raum angiomyolipoma tej zaum yuav zoo tau chav nrog lwm hom ntawm raum hlav , los yog cia li tsim nyob rau hauv keeb kwm yav dhau ntawm hloov khoom nruab nrog tus kab mob. Txawm tias angiomyolipoma raum thiab hais txog benign kab mob, nyob rau hauv exceptional mob, muaj tej yam teeb meem nyob qhov twg lub qog hlob nyob rau hauv uas nyob ib sab cov qog ntshav hauv los yog mus rau hauv lub raum cov hlab ntsha. Tab sis nws yog es kos rau txoj cai, yog li khi tactics ntawm kev phais kho mob muaj feem xyuam rau tus kab mob no yog tsis txhaum.

Angiomyolipoma ntawm raum feem ntau muaj feem xyuam rau nruab nrab-hnub nyoog thiab cov laus. Cov poj niam raug kev txom nyem los ntawm tus kab mob no yog 4 lub sij hawm ntau dua cov txiv neej. Nyob rau hauv tas li ntawd, muaj ob hom ntawm tus kab mob no - ib tug thawj (80% ntawm txhua tus neeg mob), thawm, thiab lub thib ob (20%) congenital txuam nrog tuberous sclerosis.

cov tsos mob angiomipolipomy

• Mob nyob rau hauv lub lumbar cheeb tsam thiab lub plab mog

Mob tshwm sim vim los ntshav los ntawm cov qog, uas tshwm sim raws li ib tug tshwm sim ntawm kev sib tawg ntawm cov hlab ntsha. Nyob rau hauv tas li ntawd, ntev li los ntshav nyob rau hauv tej rooj plaub muaj peev xwm ua rau tus neeg mob gemmoratichesky peritonitis thiab poob siab.

• palpable mob
• hematuria
• Nce cov ntshav siab

mob ntawm tus kab mob no

• US txoj kev tshawb no

Nyob rau ultrasonography nyob rau hauv ib tug neeg mob uas suffers los ntawm xws li ib tug kab mob raws li lub raum angiomyolipoma yog kom meej meej heev pom homogeneous sib npaug neoplasm muaj zog echogenicity.

• CT txoj kev tshawb no

CT kev kawm no tseem qhia tau hais tias ib tug sib npaug neoplasm.

• Urograficheskoe txoj kev tshawb no

Tej zaum thaum lub sij hawm X-ray kev tshawb fawb uas siv cov Urografin.

Raum angiomyolipoma - kev kho mob

Cov neeg mob uas me me qog loj tsis yuav tsum tau phais kho mob. Piv txwv li, ib tug neeg mob nrog ib tug mob ntawm "Angiomyolipoma cai raum", loj 4 cm nyob rau hauv txoj kab uas hla yuav muab ib tug keb soj ntsuam tus kws thiab tuav ultrasound los yog CT xeem ib xyoos. Yog hais tias lub qog tsis yog kev kawm, nws yuav tsis raug tshem tawm.

Phais kho mob yog tsim nyog los yuav luag txhua tus neeg, mob loj loj tshaj 5 cm nyob rau hauv txoj kab uas hla, thiab leej twg tso cai feem ntau noj qab nyob zoo thib ob lub raum. Qhov tseeb yog tias nrog no loj ntawm lub qog yog tau txoj kev pheej hmoo ntawm hemorrhagic teeb meem, piv txwv li, nrog los ntshav, uas tsis tsuas yog ua rau mob nyob rau hauv tus neeg mob, tab sis yuav ua tau kom neeg tuag taus, vim qhov tshwm sim ntawm sepsis lub cev.

Phais tshem tawm ntawm lub qog yog tau nyob rau hauv ob txoj kev - thawj yog yooj yim nephrectomy, whereby lub qog yog muab tshem tawm ua ke nrog ib feem ntawm lub raum, thiab lub thib ob nyob rau hauv enucleation ntawm hlav. Enucleation - ib tug txheej txheem rau qhov kev tshem tawm ntawm hlav, nyob rau lub khoom hauv nrog cev nqaij yog suab tsis cuam tshuam, tsuas yog seem ntawm lub allergic rau lub qog. Thaum enucleation (los yog husking mob) cov ntaub so ntswg nyob ib ncig ntawm lub fawm kib tag, thaum tswj cov tshuaj ntsiav ntawm lub neoplasm. Qhov thib ob hom yog muaj feem xyuam xwb los benign qog.