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目的探讨腹膜后纤维化(RPF)的临床特点、诊治及转归。方法分析3例腹膜后纤维化患者的临床特点与相关疾病及预后。结果 2例患者2个月复查血沉、尿常规、Ig G4均正常。腹部CT示肾积水缓解,肾周围无渗出,输尿管周围软组织影明显减少,腹膜后淋巴结无肿大;1例合并尿毒症,肝占位,经过治疗2 d后因多脏器衰竭死亡。结论影像学检查腹膜后纤维化具有重要价值,早期发现,早期治疗,有助于改善预后,当合并肿瘤时预后欠佳。
Objective To investigate the clinical features, diagnosis, treatment and prognosis of retroperitoneal fibrosis (RPF). Methods The clinical features, related diseases and prognosis of 3 patients with retroperitoneal fibrosis were analyzed. Results Two patients underwent 2-month review of erythrocyte sedimentation rate, urine routine and Ig G4. Abdominal CT showed hydronephrosis alleviation, no perirenal exudation, soft tissue around the ureter significantly reduced, no retroperitoneal lymph node enlargement; 1 case of uremia, liver space occupying 2d after treatment due to multiple organ failure and death. Conclusion Imaging examination of retroperitoneal fibrosis has important value, early detection, early treatment, help to improve the prognosis, when the merger of the poor prognosis of the tumor.