摘要
目的:总结腹膜后纤维化(RPF)的临床诊断及治疗体会。方法:回顾性分析24例RPF致上尿路梗阻患者的临床资料、治疗经过及随访结果。结果:RPF患者首发症状为腰、腹痛(66.7%);CT发现腹膜后软组织肿物20例(83.3%),B超发现的为4例(16.7%);18例患者行输尿管松懈并腹膜内迁移术,6例患者行输尿管双J管置入术,所有患者术后均接受泼尼松龙治疗,随访4～96个月,2例对侧复发。结论:ESR、CRP对诊断RPF特异度较低,CT发现腹膜后软组织肿物的敏感度高于超声检查,输尿管松懈加大网膜包裹或腹腔内迁移术联合术后激素治疗是治疗RPF的有效手段。
Objective ： To investigate the clinical diagnosis and treatment experience of retroperitoneal fibrosis （RPF）. Methods： The clinical data of 24 cases of RPF were analyzed. Results： The most common initial symptom was back or abdominal pain （66. 7% ）. Retroperitoneal mass was found with CT in 20 cases （83.3%） , and with B ultrasonic in 4 cases （16. 7% ）. Ureterolysis and double-J ureteric stent insertion were performed in 18 and 6 cases, respectively; with steroids treatment was given after surgery in all cases, During the follow-up （4 to 96 months）, RPF was recurrent in two patients. Conclusions： ESR and CRP provide low specificity in RPF diagnosis; while CT is superior to ultrasonography in this diagnosis. Ureterolysis combined with steroids was confirmed to be a effective treatment.
出处
《新医学》
2012年第11期775-778,共4页
Journal of New Medicine
关键词
腹膜后纤维化
诊断
治疗
输尿管松懈术
激素治疗
Retroperitoneal fibrosis
Diagnosis
Treatment
Ureterolysis
Steroid therapy
