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1、腹膜后纤维化的诊治分析(附48例报告)刘贵中赵耀瑞王勇徐勇孙光蔡启亮王庆杰摘要目的：探讨腹膜后纤维化致上尿路梗阻的临床特点及诊治方法。方法：回顾性分析我院自2006到2012收治的48例腹膜后纤维化患者临床资料，患者常规检查泌尿系彩超、CT,CT提示腹膜后纤维化33例(68.8%),彩超提示腹膜后纤维化18例(37.5%),12例行输尿管松解、腹腔间置术，36例行输尿管插管术，6例行肾穿刺造瘘术。结果：随访6〜60个月，术后患者症状消失24例，肾功能恢复正常27例，36例患者肾积水消失，需要长期透析治疗的
2、患者2例，死亡3例，死亡原因为肾功能衰竭、胃癌晚期。结论：泌尿系CT检查是发现和诊断腹膜后纤维化的主要方法，输尿管松解、腹腔间罝术，输尿管镜插管术，是治疗腹膜后纤维化重要手段，肾穿刺造瘘术是危重患者及输尿管松解术、输尿管插管术失败的补救手术。关键词：腹膜后纤维化：肾积水：输尿管松解、腹腔间置术，输尿管插管术，肾盂穿刺造瘘术。Analysisofdiagnosisandtreatmentofretroperitonealfibrosis(48casesreport)LiuGuizhong,ZhaoYaoru
3、iWangYongXuYongSunGuangCaiQiliangWangQingjie(Departmentofurology,ThesecondhospiatalofTianjinmedicaluniversity)[Abstract]：Objective:Toinvestigatetheretroperitonealfibrosis(RPF)inducedbyupperurinarytractobstructionontheclinicalcharacteristicsanddiagnosismet
4、hod.Methods:retrospectiveanalysisof2006-2012treated48casesofretroperitonealfibrosisandhydronephrosisinpatientswithclinicaldata,patientswithroutineexaminationofurinaryultrasonographyandCT,CTpromptsretroperitonealfibrosisin33cases(68.8%),colorDopplerultraso
5、undtipretroperitonealfibrosisin18cases(37.5%)，12casesofureterolysis,36casesofureterintubation,6routinepelvispuncturingfistulation.Results:thepatientswerefollowedupfor6〜60months,postoperativepatientsthesymptomsdisappearedin24cases,renalfunctionreturnedtono
6、rmalin27cases,36casesofpatientswithhydronephrosisdisappeared,requiringlong-termdialysispatients2cases,3casesofdeath,deathduetorenalfailure,advancedgastriccancer.Conclusion:作奍单位：300211天津医科大学第二医院通讯作者：越耀瑞，Emaikzhaoyaorui@sina.comtheurinaryCTinthediscoveryand
7、diagnosisofretroperitonealfibrosisisthemainmethod,ureteralreleasableperitonealinterpositionarthroplasty,ureteralcatheterization,istheimportantmeansoftreatmentofretroperitonealfibrosis,renalfistulizationiscriticallyillpatientsandureterolysis,ureteralintuba
8、tionfailedremedialoperation.Keywords:retroperitonealfibrosis;hydronephrosis;ureterolysis,ureteralcatheterization,pelvispuncturingfistulation.腹膜后纤维化（retroperitonealfibrosis,RPF）是由于腹膜后纤维结缔组织增生，以腹膜后组织慢性非特异性炎症为病理特征的•-•种
