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《Chinese Journal of Difficult and Complicated Cases》 2009-07
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Clinical analysis of retroperitoneal fibrosis in 26 elderly patients

WANG Jie-yu.Department of Gerontology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China  
Objective To investigate the clinical characteristics and therapeutic effects of retroperitoneal fibrosis (RPF) in elderly patients.Methods Analyze the clinical materials in 26 elderly patients with retroperitoneal fibrosis. Results The main clinical manifestations of senile retroperitoneal fibrosis included:the retroperitoneal mass and urinary tract obstruction combined hydronephrosis,renal insufficiency,hypertension,anemia and low back pain.The laboratory examination showed there were 13 cases with anemia,3 cases with abnormal white blood cell,26 cases with accelerating ESR,22 cases with increased serum inosine and BUN,and 21 cases with positive urine protein.The B mode ultrasonography and CT displayed hyperplasia abdominal mass in retroperitoneal.The MRU and CT examination could evaluate the complication.All cases were observed fibrosis with pathological test. After operation and steroid therapy,15 cases were dead and 11 cases were alive. Conclusion The elderly retroperitoneal fibrosis had no special clinical manifestations,preoperative diagnosis mainly based on imaging examination,and the definite and differential diagnosis depended on pathology and surgery.The surgical therapy could relieve urinary tract obstruction in the late stage of RPF.
【CateGory Index】: R656.5
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