Abourachid H, Petit J, Locquet P, Daher N, Dahmani F
J Urol (Paris). 1985;91(7):447-51.
15 patients suffering from retroperitoneal fibrosis with ureteral obstruction have been treated. 6 patients were operated at the first onset, 3 after an attempt of corticotherapy and 6 patients had exclusive corticotherapy. Results of surgery referred to kidney units are 9 good results out of 12 and these of corticotherapy 11 good results out of 16. Besides, in the literature, the complications of surgery are frequent and serious. Medical treatment, with renal drainage, when needed is so to consider first, surgical treatment being kept for corticotherapy failure.
15例患有伴有输尿管梗阻的腹膜后纤维化患者接受了治疗。6例患者在首次发病时接受了手术,3例在尝试皮质激素治疗后进行了手术,6例患者仅接受了皮质激素治疗。手术治疗针对肾单位的结果是12例中有9例效果良好,皮质激素治疗的结果是16例中有11例效果良好。此外,在文献中,手术并发症频繁且严重。药物治疗,必要时进行肾脏引流,应首先考虑,手术治疗则留待皮质激素治疗失败时使用。