腹膜后纤维化的诊治分析（附13例报告）

Diagnosis and treatment of retroperitoneal fibrosis （ 13 cases ）

目的提高对腹膜后纤维化的早期诊断及治疗水平。方法回顾性分析并总结我们收治的共13例腹膜后纤维化的诊治过程。结果①本病病因复杂，腹痛、腰背痛、输尿管梗阻致肾积水常为主要临床表现；②静脉肾盂造影、腹部CT对诊断本病具有重要价值，确诊主要靠手术及病理结果；③13例患者均行手术治疗，术后肾功能明显改善，预后良好。结论腹膜后纤维化早期误诊率高，治疗以解除输尿管梗阻为主，应尽可能保护肾功能。

Objectives To improve the early diagnosis and treatment level of retroperitoneal fibrosis. Methods Retrospective analysis and summarize of 13 cases for diagnosis and treatment of RPF. Results （1）The etiology of RPF is complex. Abdominal pain, back pain, hydronephrosis caused by ureteral obstruction are often the main clinical manifestations; （2） IVP, abdominal CT in the diagnosis of RPF have great value. The diagnosis of RPF depends mainly on the results of surgery and pathology; （3） 13 cases of this group underwent surgery and renal function improved after operation. The prognosis is well. Conclusions The rate of early misdiagnosis for RPF is high. The main treatment for RPF is relieve ureteral obstruction,and protect renal function as far as possible.