CAJ | 학술논문

目的：对腹膜后纤维化肾积水患者外科处理后分析评价治疗效果。方法：回顾性分析2008年3月-2012年12月收治的42例腹膜后纤维化肾积水患者，并根据患者的病情不同分别采用单纯输尿管置管术14例,开放性输尿管腹腔内松解术26例,肾造瘘术2例。观察术后肾积水缓解、肾功能恢复情况并随访。结果：42例腹膜后纤维化肾积水患者中，35例接受外科治疗的患者其临床症状减轻或完全消失，肾功能得到了有效的改善；7例输尿管松解术后患者肾功能未能得到缓解，可能与术中输尿管松解不彻底或长期肾后性梗阻致不可逆性肾性肾功能不全有关。结论：腹膜后纤维化引起肾积水、肾功能不全的治疗原则是尽早解除输尿管梗阻，防止肾积水加重和肾功能的进一步恶化，外科处理效果明显。
목적：대복막후섬유화신적수환자외과처리후분석평개치료효과。방법：회고성분석2008년3월-2012년12월수치적42례복막후섬유화신적수환자，병근거환자적병정불동분별채용단순수뇨관치관술14례,개방성수뇨관복강내송해술26례,신조루술2례。관찰술후신적수완해、신공능회복정황병수방。결과：42례복막후섬유화신적수환자중，35례접수외과치료적환자기림상증상감경혹완전소실，신공능득도료유효적개선；7례수뇨관송해술후환자신공능미능득도완해，가능여술중수뇨관송해불철저혹장기신후성경조치불가역성신성신공능불전유관。결론：복막후섬유화인기신적수、신공능불전적치료원칙시진조해제수뇨관경조，방지신적수가중화신공능적진일보악화，외과처리효과명현。
Objective To evaluate the surgical treatment effect of hydronephrosis caused by retroperitoneal fibrosis(RPF). Methods The medical records of 42 patients with hydronephrosis caused by retroperitoneal fi-brosis from March 2008 to December 2012 were analyzed retrospectively. According to the patient's condition, solely ureteral catheter was placed in 14 cases, Ureterolysis with intra-peritoneal transposition was underwent in 26 cases and 2 cases underwent percutaneous nephrostomy.The symptom of hydronephrosis and the renal func-tion were followed up. Results Different treatments were taken to these 42 patients. The clinical symptoms of 35 patients were relieved or disappeared completely and the renal function had been effectively improved. But the renal functions of 7 patients who were accepted ureterolysis were not relieved. Conclusion The main treatment of retroperitoneal fibrosis is to relief ureteral obstruction and protect the renal function. The effect of surgical treatment is obvious.