CAJ | 학술논문

目的：探讨中国近10年来腹膜后纤维化的流行病学特征和诊疗经验。方法总结中国1998-2007年间的腹膜后纤维化文献资料。结果中国10年来共报道652例腹膜后纤维化患者，男女比例为1.81：1，平均年龄48.6岁；该病分布广泛，其中31.7%分布在华北地区，22.2%分布在华东地区；该病临床表现多种多样，70.7﹪患者是以腰背痛，腹痛为主要表现，影像学表现以B超、CT、静脉肾盂造影（IVP）、逆行尿路造影为主，病理检查可以确诊；治疗以手术为主。结论腹膜后纤维化主要分布在华北和华中地区，术前诊断困难，IVP 和逆行尿路造影是重要的影像学检查，松解粘连和带蒂大网膜包裹是治疗本病的有效方法。
목적：탐토중국근10년래복막후섬유화적류행병학특정화진료경험。방법총결중국1998-2007년간적복막후섬유화문헌자료。결과중국10년래공보도652례복막후섬유화환자，남녀비례위1.81：1，평균년령48.6세；해병분포엄범，기중31.7%분포재화북지구，22.2%분포재화동지구；해병림상표현다충다양，70.7﹪환자시이요배통，복통위주요표현，영상학표현이B초、CT、정맥신우조영（IVP）、역행뇨로조영위주，병리검사가이학진；치료이수술위주。결론복막후섬유화주요분포재화북화화중지구，술전진단곤난，IVP 화역행뇨로조영시중요적영상학검사，송해점련화대체대망막포과시치료본병적유효방법。
Objective To explore the epidemiological feature,pathogenesis, diagnosis and treatment on retroperitoneal fibrosis(RPF) in China from 1998 to 2007. Methods The epidemiological feature and the experiences of diagnosis and treatment on RPF was reviewed and analyzed from the clinical materials on documents during 10 years.Results 652 patients with RPF were reported in China during 10 years,of which the ratio of male patients to female patients was approximately 1.81:1.The mean age of these patients was 48.6 years. 31.7﹪ of these patients was distributed mainly over North Part of China.The back or flank pain and abdominal pain was the main clinical manifestation in 70.7﹪ of these patients and surgical resection was the main therapeutic method. Conclusion The patients with RPF was distributed mainly over East and North Part of China. Preoperative diagnosis was more difficult. Pathological diagnose is the golden standard for diagnose of RPF. Surgical therapy and adhesions release were the effective methods for the treatment of this disease.