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目的 提高腹膜后纤维化引起肾积水的诊断及治疗效果。方法 对1986年2月至1999年11月期间所收治的11例腹膜后纤维化引起的肾积水进行回顾性总结。结果 本组原发性者6例,继发性者5例,3例行输尿管内支架治疗,8例行手术治疗,并于术后加用激素治疗,随访6～38个月,术后肾功能均有改善或恢复正常,原发性者预后良好,3例继发于恶性肿瘤者于术后3～8个月死亡。结论 对于腹膜后纤维化引起的肾积水,逆行肾盂造影、B超、MRI等检查可明确诊断,采取手术等治疗措施尽快解除梗阻、引流尿液是有效的治疗方法。
Objective To improve the diagnosis and treatment of hydronephrosis caused by retroperitoneal fibrosis. Methods 11 cases of hydronephrosis caused by retroperitoneal fibrosis were retrospectively reviewed from February 1986 to November 1999. Results The group of primary 6 cases, 5 cases of secondary, 3 cases of ureteral stent treatment, 8 cases of surgical treatment, and postoperative plus hormone therapy, followed up for 6 to 38 months, postoperative kidney Function improved or returned to normal, the prognosis of primary good, three cases of secondary malignant tumor died after 3 to 8 months. Conclusion For hydronephrosis caused by retroperitoneal fibrosis, retrograde pyelography, B ultrasound, MRI and other tests can confirm the diagnosis, to take surgical treatment as soon as possible to relieve obstruction, drainage of urine is an effective treatment.