CAJ | 학술논문

目的：分析对腹膜后纤维化（ RPF）的诊断、治疗状况，提高RPF的早期诊断率。方法：总结5例RPF患者的诊断、治疗和预后情况。结果：5例患者的初发症状各异，但腰背痛、腹痛为多见，后期症状因受累脏器的不同而异，其中以腹部包块、腹腔积液、泌尿系统症状及肠梗阻常见。CT和磁共振成像表现为主要诊断依据，但B超检查有利于合并肾积水及输尿管病变患者的诊断。当疾病在活动期，应积极给予足量激素和免疫抑制剂治疗；当纤维化已形成并发展到梗阻时，需及时手术治疗。结论：腹膜后纤维化发病率低，误诊率高。糖皮质激素对该病效果比较好，后期常需要手术治疗。
목적：분석대복막후섬유화（ RPF）적진단、치료상황，제고RPF적조기진단솔。방법：총결5례RPF환자적진단、치료화예후정황。결과：5례환자적초발증상각이，단요배통、복통위다견，후기증상인수루장기적불동이이，기중이복부포괴、복강적액、비뇨계통증상급장경조상견。CT화자공진성상표현위주요진단의거，단B초검사유리우합병신적수급수뇨관병변환자적진단。당질병재활동기，응적겁급여족량격소화면역억제제치료；당섬유화이형성병발전도경조시，수급시수술치료。결론：복막후섬유화발병솔저，오진솔고。당피질격소대해병효과비교호，후기상수요수술치료。
Objective:To investigate the status of diagnosis and treatment of retroperitoneal fibrosis( RPF),to raise the ac-curately diagnostic rate of RPF. Methods:Analyse diagnosis,treatment and prognosis of the 5 RFP patients. Results:The early symptoms was different,abdomen pain and back pain as main symptoms,advanced stages symptoms to vary with the affected or-gan,sees by abdominal mass,ascites,genitourinary tract symptom and obstruction. The main basis of diagnosis is CT and mag-netic resonance imaging,but,dopolor ultrasonography was very helpful in diagnosis of kidney with hydronephrosis patients and ureteral diseases patients. In active period of RPF,we shoud give aggressive treatment of adequate glucocorticoids and immuno-suppressant;when fibrosis develops to obstruction,it must be interfered with operation. Conclusion:Such disease is rare and has a high misdiagnosis rate. Glucocorticoids is more effective to RPF,it might need surgery in the late stage.