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The analysis of diagnosis and treatment of retroperitoneal fibrosis: report of 24 cases
Author(s): 
Pages: 775-778
Year: Issue:  11
Journal: New Medicine

Keyword:  腹膜后纤维化诊断治疗输尿管松懈术激素治疗;
Abstract: 目的:总结腹膜后纤维化(RPF)的临床诊断及治疗体会.方法:回顾性分析24例RPF致上尿路梗阻患者的临床资料、治疗经过及随访结果.结果:RPF患者首发症状为腰、腹痛(66.7%);CT发现腹膜后软组织肿物20例(83.3%),B超发现的为4例(16.7%);18例患者行输尿管松懈并腹膜内迁移术,6例患者行输尿管双J管置入术,所有患者术后均接受泼尼松龙治疗,随访4 ~96个月,2例对侧复发.结论:ESR、CRP对诊断RPF特异度较低,CT发现腹膜后软组织肿物的敏感度高于超声检查,输尿管松懈加大网膜包裹或腹腔内迁移术联合术后激素治疗是治疗RPF的有效手段.
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