论文部分内容阅读
特发性腹膜后纤维性变(Idiopathic retroperitoneal fibrosis,RPF)并不多见,作者于1969～1986年间在50万人群中共发现17例,均经Staffordshire中心医院确诊。17例中男14例、女3例、年龄为36～74岁:其中14例用固醇类药物作首选治疗。作者指出非手术治疗安全可靠,少数需行手术治疗如输尿管松解术,但可能并发输尿管漏或复发。全组病例经治疗后症状改善,肾功恢复,尿路造影显示上段梗阻恢复或接近正常,少数病例血清肌酐下降,造影无明显改善。
Idiopathic retroperitoneal fibrosis (RPF) is rare, the author in 1969 to 1986 in 500,000 were found in 17 cases were diagnosed by Staffordshire Central Hospital. There were 14 males and 3 females in 17 cases, aged from 36 to 74 years old. Among them, 14 were steroids for primary treatment. The authors pointed out that non-surgical treatment of safe and reliable, a small number of surgical treatment required, such as ureteral lysis, but may be complicated by ureteral leakage or recurrence. All patients after treatment, symptoms, renal function recovery, urinary tract obstruction showed proximal or proximal recovery, a few cases of serum creatinine decreased, no significant improvement in the contrast.