盆腔脂肪增多症合并左侧重复肾畸形1例诊治报告并文献复习

费夏玮; 李笑弓; 刘光香; 姚林方; 叶长晓; 郭宏骞

盆腔脂肪增多症合并左侧重复肾畸形1例诊治报告并文献复习

- 1. 东南大学医学院(南京, 210009);
- 2. 南京大学医学院附属鼓楼医院泌尿外科

详细信息

通讯作者: 李笑弓,E-mail:njlxg6691@126.com

中图分类号: R692

收稿日期: 2012-09-01

Pelvic lipomatosisassociated with duplex kidney: a case report and literature review

- 1. Medical College of Southeast University, Nanjing, 210009, China;
- 2. Department of Urology, Affiliated Drum Tower Hospital, Medical College of Nanjing University

More Information

Corresponding author: LI Xiaogong, E-mail: njlxg6691@126.com

Received Date: 01 September 2012

摘要

摘要: 目的：提高盆腔脂肪增多症（PL）的诊断及治疗水平。方法：对1例PL合并左侧重复肾畸形的临床诊治过程进行回顾性分析，并结合相关文献对PL的诊断及治疗进行探讨。结果：患者于治疗6个月后体重减轻10 kg，尿路刺激症状较治疗前明显好转，肌酐正常范围内，左侧腰背部无明显酸胀不适，第1、3、6个月门诊复查，泌尿B超示左下肾仍有积水但随体重的降低积水程度逐渐减轻。结论：X线、CT及MRI为此病的主要诊断线索及依据，但治疗上尚无统一规范化指南，尚需更多的前瞻性随机对照研究和多中心大宗病例规范治疗方案。
- 盆腔脂肪增多症 /
- 重复肾 /
- 肾积水
Abstract: Objective: To improve the diagnosis and therapy of pelvic lipomatosis(PL). Method: One case of pelvic lipomatosis associated with duplex kidney was reported, clinical data and relevant literature of PL were also analyzed. Result: The patient went on a diet to abate 10 kilograms and the chief complaint of urinary irritation symptoms and lumbar discomfort was relieved after 6 months treatment. He was followed up in 1, 3, 6 month to check by B ultrasonic and serum creatinine, the result showed that the serum creatinine was normal and the hydronephrosis abated with the loss of weight.Conclusion: X-ray,CT scan and MRI are the most valuable examinations in the diagnosis of PL. We need more prospective randomized studies to set up the standard treatment for PL.
- pelvic lipomatosis /
- duplex kidney /
- hydronephrosis

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参考文献(11)

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