盆腔脂肪增多症的诊断和治疗  

The diagnosis and treatment of pelvic lipomatosis

作　　者：刘喆[1] 欧阳骏[1] 

机构地区：[1]苏州大学附属第一医院泌尿外科,江苏苏州215006

出　　处：《临床泌尿外科杂志》2013年第1期13-15,18,共4页Journal of Clinical Urology

基　　金：国家自然科学基金资助项目(编号81070591)

摘　　要：目的:提高对盆腔脂肪症的诊断特点及治疗手段的认识。方法:回顾性分析我科自2011年9月～2012年7月收治的3例盆腔脂肪增多症的临床资料,结合文献复习讨论盆腔脂肪增多症诊治特点。结果:3例患者经尿路平片、静脉肾盂造影、CT和(或)MRI检查诊断后,2例行盆腔脂肪清除加双侧输尿管膀胱再植术,术后病理确诊为盆腔脂肪增多症,随访至今手术效果满意。1例拒绝手术自动出院,随访1年,病情未见缓解。结论:X线、CT及MRI是诊断本病的重要线索和依据,盆腔脂肪清除加双侧输尿管膀胱再植术是治疗盆腔脂肪增多症的有效方法。Objective：To discuss and improve levels of the diagnosis and treatment of pelvic lipomatosis in clini- cal practice. Method： Three cases of pelvic lipomatosis were retrospectively analyzed in our study, who were admit ted in our department from September 2011 to July 2012, with combination of literature to discuss the diagnosis and treatment features of pelvic lipomatosis. Result：Three patients were diagnosed with pelvic lipomatosis by ima- ging manifestation of IVP, CT and（or） MRI. One of 3 patients refused surgery, followed up for one year after discharged, and the patient＇s condition was still unrelieved up to now. The other two patients underwent surgery to clear the lipid in the pelvic and reimplant bilateral ureters, and pathological diagnosis also confirmed pelvic lipo- matosis. The two patients were followed up separately for eleven months and three months, and the surgical re- suits was satisfactory. Conclusion：X-ray, CT and MRI are the most valuable examinations in the diagnosis of pelvic lipomatosis. Removing the lipid in the pelvic and reimplanting bilateral ureters by open surgery is effective in the treatment of pelvic lipomatosis.

关 键 词：盆腔脂肪增多症 输尿管再植 诊断 治疗 

分 类 号：R694[医药卫生—泌尿科学]