CAJ | 학술논문

目的分析总结腹膜后纤维化患者超声声像图特征表现。方法回顾性分析2000年2月至2012年10月深圳市龙岗中心医院确诊的13例腹膜后纤维化患者超声声像图特征。结果（1）13例患者中原发性腹膜后纤维化10例，继发性腹膜后纤维化伴有肿瘤者3例。（2）11例患者腹膜后腹主动脉中下段的前壁及两侧壁可见厚度不一的弥漫性条状低回声包绕，形态不规则，范围不等，1例表现为边界较清晰的低回声团块。10例团块内部回声均匀，2例团块内部回声不均匀,可见少量细线状纤维分隔样稍高回声。彩色多普勒血流成像示团块内未见明显的血流信号。其中3例团块同时包绕下腔静脉,3例病变向下延伸至髂血管周围。（3）11例患者（84.6%）伴有不同程度的肾积水，10例同时合并输尿管扩张。肾积水合并输尿管扩张者可见低回声病变包绕输尿管。输尿管局限性狭窄2例。结论超声检查可作为腹膜后纤维化首选的有效诊断手段。
목적분석총결복막후섬유화환자초성성상도특정표현。방법회고성분석2000년2월지2012년10월심수시룡강중심의원학진적13례복막후섬유화환자초성성상도특정。결과（1）13례환자중원발성복막후섬유화10례，계발성복막후섬유화반유종류자3례。（2）11례환자복막후복주동맥중하단적전벽급량측벽가견후도불일적미만성조상저회성포요，형태불규칙，범위불등，1례표현위변계교청석적저회성단괴。10례단괴내부회성균균，2례단괴내부회성불균균,가견소량세선상섬유분격양초고회성。채색다보륵혈류성상시단괴내미견명현적혈류신호。기중3례단괴동시포요하강정맥,3례병변향하연신지가혈관주위。（3）11례환자（84.6%）반유불동정도적신적수，10례동시합병수뇨관확장。신적수합병수뇨관확장자가견저회성병변포요수뇨관。수뇨관국한성협착2례。결론초성검사가작위복막후섬유화수선적유효진단수단。
Objective To analyze the ultrasonographic features of retroperitoneal ifbrosis (RPF). Methods Totally 13 patients with retroperitoneal ifbrosis from February 2000 to October 2012 in the Long Gang central Hospital of Shenzhen were retrospectively analyzed. Results In all patients who underwent ultrasound examination, there were ten cases of idiopathic RPF and three cases of secondary RPF with abdominal tumors. In 11 cases, the masses were hypoechoic locating at retroperitoneum and surrounding the abdominal aorta without deifnitive margin. One case showed hypoechoic mass with clear boundary. In ten cases, the internal echogenicity of masses were uniform. In two cases, the internal echogenicity of masses were uneven with a small amount of ifbrous separator with slightly higher echogenicity. No blood was found in all masses. The encasement of inferior vena cava was found in three casesand the masses extended to iliac arteries in three cases. Hydronephrosis could be found in 11 patients (84.6%) and ureter dilatation was found in ten cases. Ureteral localized stenosis were found in two cases. Conclusion Ultrasonography is a preferred imaging method in diagnosing RPF.