CAJ | 학술논문

目的提高对腹膜后纤维化的早期诊断及治疗水平.方法回顾性分析并总结我们收治的共13例腹膜后纤维化的诊治过程.结果 ①本病病因复杂,腹痛、腰背痛、输尿管梗阻致肾积水常为主要临床表现;②静脉肾盂造影,腹部CT对诊断本病具有重要价值,确诊主要靠手术及病理结果;③13例患者均行手术治疗,术后肾功能明显改善,预后良好.结论腹膜后纤维化早期误诊率高,治疗以解除输尿管梗阻为主,应尽可能保护肾功能.
목적 제고대복막후섬유화적조기진단급치료수평.방법 회고성분석병총결아문수치적공13례복막후섬유화적진치과정.결과 ①본병병인복잡,복통、요배통、수뇨관경조치신적수상위주요림상표현;②정맥신우조영,복부CT대진단본병구유중요개치,학진주요고수술급병리결과;③13례환자균행수술치료,술후신공능명현개선,예후량호.결론 복막후섬유화조기오진솔고,치료이해제수뇨관경조위주,응진가능보호신공능.
Objectives To improve the early diagnosis and treatment level of retroperitoneal fibrosis．Methods Retrospective analysis and summarize of 13 cases for diagnosis and treatment of RPF.Results①The etiology of RPF is complex.Abdominal pain,back pain,hydronephrosis caused by ureteral obstruction are often the main clinical manifestations;②IVP,abdominal CT in the diagnosis of RPF have great value.The diagnosis of BPF depends mainly on the results of surgery and pathology;③13 cases of this group underwent surgery and renal function improved after operation.The prognosis is well.Conclusions The rate of early misdiagnosis for RPF is high.The main treatment for BPF is relieve ureteral obstruction,and protect renal function as far as possible.