[Idiopathic retroperitoneal fibrosis].

V Aulenti, B Taher, C Simeone, G P Da Pozzo, E Frego
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引用次数: 0

Abstract

Idiopathic retroperitoneal fibrosis is generally held to be uncommon. Its etiology is unknown. The disease continues to present with early bilateral ureteric involvement. Nowadays imaging techniques permit so a timely diagnosis to preserve and reduce renal damage. The optimum method of management is still controversial. Controversies on pharmacological, endourological and surgical treatment are debated. The advantages of various types of surgery are reviewed. In the urological department of the Civic Hospital in Brescia from February 1984 to June 1992, 87 patients (6 females and 2 males) with IRP were observed. Surgical treatment was combined with corticosteroids in 6 patients. Ureterolysis was performed with omental wrapping in 5 patients, with ureteric intraperitonealisation in 2 other ones. In the last case an ileal loop replacement was performed. In 5 out of 8 patients the ureteral stricture was resected and a termino-terminal anastomosis was necessary. Long-term follow-up is satisfactory. The authors conclude that omental wrapping is the safest method of choice.

特发性腹膜后纤维化。
特发性腹膜后纤维化通常被认为是罕见的。其病因尚不清楚。本病持续表现为早期累及双侧输尿管。现今的影像技术允许及时诊断以保存和减少肾脏损害。最优的管理方法仍然存在争议。争论的药理学,泌尿系统和手术治疗。本文综述了各种手术的优点。1984年2月至1992年6月,布雷西亚市立医院泌尿科共观察了87例IRP患者(6女2男)。6例患者采用手术联合皮质激素治疗。5例患者行大网膜包裹输尿管溶解术,2例患者行输尿管腹腔灌注术。最后一例为回肠袢置换。8例患者中有5例输尿管狭窄被切除,需要行输尿管末端吻合术。长期随访满意。作者得出结论,网膜包裹是最安全的选择方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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