| 王建涛刘斌赵祯匡安仁△.特发性腹膜后纤维化一例并文献复习[J].,2011,11(4):749-752 |
| 特发性腹膜后纤维化一例并文献复习 |
| Idiopathic Retroperitoneal Fibrosis: a Case Report and Literature Review |
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| DOI： |
| 中文关键词: 腹膜后纤维化诊断治疗 |
| 英文关键词: Retroperitoneal fibrosis diagnosis therapy |
| 基金项目: |
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| 中文摘要: |
| 目的：分析腹膜后纤维化( RPF)的诊断以及治疗情况,以提高对RPF的认识。方法：回顾性分析我科18F-FDG PET/CT 诊断
的1例RPF患者的临床资料，并对相关文献进行复习。结果：本例患者以腹胀及右下腹部隐痛不适就诊，腹部CT 表现为腹主动
脉周围肿块，18F-FDG PET/CT显示腹膜后间隙中线大血管周围糖代谢增高肿块，经CT引导下穿刺及手术病理确诊为特发性腹膜
后纤维化。结论：腹膜后纤维化属罕见病，CT、MRI在诊断中有较重要作用，PET/CT 在IRPF的诊断及治疗随访中有比较重要的
价值，在治疗方面，糖皮质激素治疗效果较好，晚期常需要手术治疗。 |
| 英文摘要: |
| Objective: To evaluate the diagnosis and the treatment of the retroperitoneal fibrosis. Methods: The process of diagnosis
for one patient with Idiopathic Retroperitoneal Fibrosis was analyzed and the literatures about RPF in recent years were reviewed.
Results: A soft-tissue mass surrounding the abdomina1 aorta in retroperitoneum was showed by CT scan in a 41 year old inpatient male,
and the 18F-FDG PET/CT showed strikingly 18F-FDG uptake in the mid-abdominal region at the level of the CT-documented retroperitonealmass
without other sites of pathological uptake. The patient was confirmed as IRF through under CT guidance and surgical pathology.
Conclusion: RPF is a rare disease, CT/MRI is important in diagnosis, 18F-FDG PET/CT has some advantages compared to the other image
exams, and it is useful in the follow up. Glucocorticoid has a good effectiveness in treatment of the cases, while surgery is needed for
the patients in late stage. |
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