论文部分内容阅读
目的 总结腹膜后纤维化的临床特征 ,以提高对其的早期诊、治水平。方法 通过文献复习对 2例腹膜后纤维化致急性肾功能衰竭的诊断、治疗和预后进行回顾性分析。结果 原发性腹膜后纤维化致急性肾功能衰竭 1例 ,采用带蒂大网膜包裹治疗 ,随访 9月 ,肾功能正常。继发性腹膜后纤维化致急性肾功能衰竭 1例 ,行肾盂造口 ,肾功能恢复良好 ,6个月后死于癌症广泛转移。结论 逆行肾盂造影是腹膜后纤维化的重要诊断手段 ,确诊需经手术和病理。对继发性腹膜后纤维化应警惕是否合并消化道肿瘤。早期诊断和治疗是减少腹膜后纤维化致急性肾功能衰竭的关键。带蒂大网膜包裹术是有效的治疗方法。
Objective To summarize the clinical features of retroperitoneal fibrosis in order to improve its early diagnosis and treatment. Methods The literature review of 2 cases of retroperitoneal fibrosis caused by acute renal failure diagnosis, treatment and prognosis were retrospectively analyzed. Results Primary retroperitoneal fibrosis caused acute renal failure in 1 case, using pedicled omental wrapping treatment, followed up for 9 months, with normal renal function. Acute renal failure caused by secondary retroperitoneal fibrosis in 1 case of renal pelvis, renal function recovered well, 6 months after the death of a wide range of cancer metastasis. Conclusions Retrograde pyelography is an important diagnostic method of retroperitoneal fibrosis, which is confirmed by operation and pathology. For secondary retroperitoneal fibrosis should be alert whether the merger of digestive tract tumors. Early diagnosis and treatment is the key to reducing acute renal failure caused by retroperitoneal fibrosis. Pedunculated omentum wrapping is an effective treatment.