论文部分内容阅读
目的:提高对腹膜后纤维化的认识,减少对该病的误诊。方法:报告我院3例腹膜后纤维化致急性肾衰的临床表现,诊断和治疗情况,并结合文献复习。结果:入院后予CT、MR等影像学检查及病理活检明确诊断,早期给予解除梗阻甚至血液透析治疗,同时联合内科药物治疗,近期治疗效果满意。结论:RPF临床表现缺乏特异性,影像学检查是重要的诊断方法,但确诊有赖于病理活检。早期予解除梗阻甚至血液透析治疗,可为进一步诊治赢得时间。
Objective: To improve the understanding of retroperitoneal fibrosis and reduce the misdiagnosis of the disease. Methods: The clinical manifestations, diagnosis and treatment of 3 cases of acute renal failure caused by retroperitoneal fibrosis were reported in our hospital, combined with the literature review. Results: CT, MR and other imaging studies and pathological biopsy confirmed the diagnosis, early to relieve obstruction or hemodialysis treatment, combined with medical treatment, the recent treatment with satisfactory results. Conclusion: The clinical manifestations of RPF are lack of specificity. Imaging examination is an important diagnostic method, but the diagnosis depends on pathological biopsy. Early to relieve obstruction or even hemodialysis treatment, for further diagnosis and treatment to win time.