腹膜后纤维化1例并国内文献分析
腹膜后纤维化,,腹膜后纤维化；诊断；治疗,1临床资料,2讨论,参考文献:
摘要: 目的: 分析国内对腹膜后纤维化(RPF)的诊断、治疗状况，以提高对RPF的早期诊断率。方法: 回顾总结了我院1例和国内报道的114例RPF患者的诊断、治疗和预后情况。结果: (1) 该病患者男∶女为1.8∶1，腰背部疼痛80例(69.57%)，肾积水87例(75.65%)，肾功能损害60例(52.17%)，上段输尿管扩张49例(42.61%)，下肢水肿29例(25.22%)，高血压26例(22.61%)，少尿、无尿24例(20.87%)。(2) CT对诊断腹膜后软组织异常、B超对诊断肾积水和输尿管扩张非常有价值。本组96.52%的患者是依靠剖腹探查、组织学检查确定诊断的。(3) 外科治疗的主要目的是解除输尿管梗阻和防止再狭窄，应用糖皮质激素是内科治疗的主要手段。结论: RPF起病隐匿，临床表现无特异性，需依靠剖腹探查和组织学检查确诊；早期应用糖皮质激素治疗效果较好，免疫抑制剂和他莫西芬的应用尚在探索中；晚期出现器官压迫和梗阻时需手术治疗。关键词: 腹膜后纤维化；诊断；治疗
Retroperitoneal fibrosis: one case report and domestic literature reviews
LUO Jun, LUAN Meixiang, Sailike
(Department of General Surgery, First Affiliated Hospital, Xinjiang Medical University,Urumqi 830054, China)
Abstract: Objective: To retrospect the domestic status of diagnosis and treatment of retroperitoneal fibrosis (RPF). Methods: A total of 115 cases with RPF that included 1 case from our hospital and 114 cases from domestic literature were reviewed for analyzing the clinical manifestations, diagnosis, treatment and prognosis of this disease. Results: The ratio of male patients to female in the group was about 1.8∶1. Frequent clinical symptoms and signs: back and flank pain(69.57%) ......
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