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目的分析盆腔脂肪增多症误诊原因,探讨盆腔脂肪增多症的诊断方法。方法回顾性分析4例盆腔脂肪增多症误诊、误治的临床资料。结果肛门指诊提示前列腺抬高;X线平片示盆部透亮度增加,静脉肾盂造影示输尿管扩张移位、肾盂积水;B超检查示盆腔内大量强回声光团,膀胱变形,肾盂、输尿管扩张;MRI检查示盆腔内大量短T1、短T2信号,膀胱变形并肾盂、输尿管扩张;CT检查示盆腔内大量低密度影并膀胱变形,输尿管及肾盂扩张。结论患者具有排尿困难症状,合并双肾积水时应考虑本病,并进行相应检查;肛门指诊、膀胱镜检查及经静脉尿路造影术(IVU)、MRI等影像学检查有重要意义。
Objective To analyze the causes of misdiagnosis of pelvic fat disease and to explore the diagnostic method of pelvic fat disease. Methods Retrospective analysis of 4 cases of pelvic fat disease misdiagnosis, mistreatment of clinical data. The results of the anus indicate prostate gland elevation; X-ray showed increased translucent pelvis, intravenous pyelography showed ureteral dilatation and displacement, hydronephrosis; B-ultrasound showed a large number of pelvic hyperechoic light, bladder deformation, renal pelvis , Ureteral dilatation; MRI showed a large number of short pelvic T1, T2 signals, bladder deformity and renal pelvis, ureteral dilation; CT showed a large number of pelvic low density and bladder deformation, ureteral and pyelonephrosis. Conclusions Patients with dysuria symptoms should be considered when combined with hydronephrosis. Anal sphincter examination, cystoscopy and intravenous urography (IVU) and MRI are of great significance.