Lorentzen J E, Sørensen I N, Brun B, Laursen K, Kristensen J K
Acta Chir Scand Suppl. 1980;502:94-7.
During the 10 year period 1969-1979 145 patients with abdominal aortic aneurysm and 21 patients with retroperitoneal fibrosis were surgically treated in our department. Five patients had both disorders simultaneously. In four of them one or both ureters were involved in the fibrotic process and ureterolysis was performed in three and a nephrectomy in one. Three patients had the aneurysm resected simultaneously, two of them as an emergency operation because of threatening rupture. In this small group of patients with both disorders, signs and symptoms were the same as those patients with either retroperitoneal fibrosis or aortic aneurysm alone. The question whether retroperitoneal fibrosis in such cases primary or secondary to abdominal aortic aneurysm or they are coincidental, is still unanswered. The treatment of choice is ureterolysis and resection of the aneurysm in a one stage procedure.
在1969年至1979年的10年期间，我科对145例腹主动脉瘤患者和21例腹膜后纤维化患者进行了手术治疗。5例患者同时患有这两种疾病。其中4例患者的一侧或双侧输尿管受累于纤维化过程，3例行输尿管松解术，1例行肾切除术。3例患者同时行动脉瘤切除术，其中2例因动脉瘤有破裂风险而行急诊手术。在这一小群同时患有两种疾病的患者中，其体征和症状与单纯患有腹膜后纤维化或主动脉瘤的患者相同。这种情况下的腹膜后纤维化是原发性的，还是继发于腹主动脉瘤，抑或是两者巧合，这个问题仍然没有答案。首选的治疗方法是一期行输尿管松解术和动脉瘤切除术。
