盆腔脂肪增多症误诊4例分析并文献复习  

Misdiagnostic Analysis of 4 Cases of Pelvic Lipomatosis and Literature Review

作　　者：李先承[1] 宋希双[1] 张仁科[1] 姜涛[1] 

机构地区：[1]大连医科大学附属第一医院泌尿外科,辽宁大连116011

出　　处：《中国误诊学杂志》2005年第5期810-812,共3页Chinese Journal of Misdiagnostics

摘　　要：目的:提高对盆腔脂肪增多症的认识和诊断水平。方法:总结分析4例盆腔脂肪增多症的临床及X线和CT的表现。结果:影像学表现结合临床表现可确诊盆腔脂肪增多症。结论:影像学是诊断本病的主要方法,尿流改道可能是最佳的治疗策略。Objective:Four cases of misdiagnosed pelvic lipomatosis were analysed in order to improve the levels of diagnosis.Methods/Results:Four patients,aged 40,65,42,and 48 years old respectively,showed irritative lower urinary tract symptoms.Intravenous pyelogram(IVP) and CT scan were performed as diagnostic procedures.After diagnosis an endoscopic evaluation including biopsies was performed to rule out tumours.Conclusions:Pelvic lipomatosis was a rare disease;although traditionally it has been considered benign it could result in urinary tract obstruction with severe physiopathological consequences.IVU and CT scan were valuable to confirm the diagnosis. and surgical procedure played an important role in treatment of pelvic lipomatosis.

关 键 词：骨盆/病理学 脂肪瘤样病/放射摄影术 误诊 

分 类 号：R816[医药卫生—放射医学]