腹膜后纤维化的诊断和治疗  

Diagnosis and Treatment of Retroperitoneal Fibrosis

作　　者：周瑞锦[1] 宋少康[1] 姬彤宇[1] 刘中华[1] 李启忠[1] 

机构地区：[1]河南省人民医院泌尿外科,郑州市450003

出　　处：《医药论坛杂志》2006年第20期11-12,共2页Journal of Medical Forum

摘　　要：目的 探讨腹膜后纤维化的临床病理特征，提高对腹膜后纤维化的诊断及治疗水平。方法 回顾总结了12例腹膜后纤维化患者的诊断及治疗情况，9例进行外科治疗，12例均给予糖皮质激素治疗。结果 随防3～36个月，肾功能均改善或恢复正常，3例继发于恶性肿瘤的患者死亡。结论 静脉尿路造影（IVU）、CT及MRI是诊断的主要手段，外科治疗的主要目的是解除腹膜后器官受压或梗阻以及防止再狭窄，应用糖皮质激素是内科治疗的主要手段。Objective To investgate the clinicopathological characteristics of retroperitoneal fibrosis （RPF） for improving its diagnosis and treatment. Methods The status of diagnosis and treatment of 12 cases of retroperitoneal fibrosis were retrospectively analyzed. Surgical intervention was undertaken in 9 patients and all 12 cases were administrated of glucocorticoid. Results The patients were followed up for 3 to 36 months with improved or normal renal function. Death secondary to malignancy was found in 3 cases. Conclusion The main diagnostic approach to RPF depends on IVU, CT and MR image. The purpose of surgical therapy was mainly to relief the organ in retroperitoneal space compression or obstruction and prevent its recurrence. The use of glucocorticoid was main process of medical treatment.

关 键 词：腹膜后纤维化 诊断 泌尿外科 

分 类 号：R656.4[医药卫生—外科学]