Morales López A, Rus Herrera F, García Matilla F, Pobil Moreno J L
Arch Esp Urol. 1978 Sep-Oct;31(5):469-82.
Based on 8 cases observed the author attempted to specify the possiblities of diagnosis and therapy of the idiopathic retroperitoneal fibrosis. If the pathogeny is very dark this illness is accompanied by an unspecific chronic inflammatory process. The radiology (U.I.V. and U.P.R.) does permit to affirm the affection. The ureterolysis with bilateral intraperitonization or, in unilateral cases, the extraperitonization of the ureter fixing the peritoneum to the psoas are the most effective surgical methods. They can be combined with the cortico-therapy which permits a recovery of the renal function and improves the ureteral transit.
基于所观察的8个病例,作者试图明确特发性腹膜后纤维化的诊断和治疗可能性。如果病因非常不明,该疾病会伴有非特异性慢性炎症过程。放射学检查(静脉肾盂造影和逆行肾盂造影)确实能够证实病变情况。双侧输尿管松解并腹腔内固定术,或者在单侧病例中,将输尿管腹膜外固定并将腹膜固定于腰大肌,是最有效的手术方法。这些手术方法可与皮质激素治疗相结合,皮质激素治疗可使肾功能恢复并改善输尿管输送功能。