盆腔脂肪清除术联合输尿管膀胱再植术治疗盆腔脂肪增多症6例报告  

Combination of Pelvic Fat Mass Extirpation and Ureteral Reimplantation Surgery for Pelvic Lipomatosis:Report of 6 Cases

作　　者：王海龙 张洪宪[2] 侯小飞[2] 王国良[2] 马潞林[2] WANG Hailong;ZHANG Hongxian;HOU Xiaofei;WANG Guoliang;MA Lulin(People’s Hospital of Wuzhong City,Wuzhong751100,China;Department of Urology,Third Hospital of Peking University,Beijing100191,China)

机构地区：[1]宁夏医科大学附属吴忠市人民医院,吴忠751100 [2]北京大学第三医院泌尿外科,北京100191

出　　处：《宁夏医科大学学报》2020年第11期1160-1164,共5页Journal of Ningxia Medical University

摘　　要：目的探讨盆腔脂肪清除联合输尿管膀胱再植术治疗盆腔脂肪增多症的临床疗效。方法回顾性分析6例接受盆腔脂肪清除和输尿管膀胱再植术治疗盆腔脂肪增多症患者的临床资料。结果6例患者均顺利完成手术,术后第1次随访,影像学检查提示患者积水情况均有不同程度的好转。随访时间8~95个月,中位随访时间48.5个月。1例患者术后49个月疾病复发,行Bricker回肠膀胱术,其余患者未见复发。结论盆腔脂肪增多症是临床罕见的良性疾病,对出现泌尿系统梗阻症状的患者行盆腔脂肪清除术联合输尿管膀胱再植术安全、有效。Objective To evaluate the clinical efficacy of pelvic fat mass extirpation and ureteral reimplantation surgery in treating pelvic lipomatosis.Methods Clinical data of 6 pelvic lipomatosis treated by pelvic fat mass extirpation and ureteral reimplantation surgery in our hospital were analyzed retrospectively.Results Surgeries were performed on 6 patients successfully.Imaging examination revealed varying extent alleviation of hydronephrosis at the first follow-up period.The follow-up period was 8 to 95 months.The median follow-up was 48.5 months.One patient received radical cystectomy with Bricker’s ileal condiut surgery due to recurrence at 49 months after operation.The other patients had no evidence of recurrence.Conclusion Pelvic lipomatosis is a rare disorder of benign disease and combination of pelvic fat mass extirpation and ureteral reimplantation surgery is an effective and safe method for patients with urinary system obstruction.

关 键 词：盆腔脂肪增多症 盆腔脂肪清除术 输尿管膀胱再植术 

分 类 号：R589.2[医药卫生—内分泌]