【摘要】 目的 加深对腹膜后纤维化的认识，探讨腹膜后纤维化的病因、诊断及治疗。 方法 对9例临床收治的腹膜后纤维化病例临床资料进行回顾性分析，其中原发性6例，继发性3例;所有原发性患者行输尿管松解术手术治疗，3例继发性患者中2例行输尿管支架术，1例行肾穿刺造瘘术。 结果 随访1～3年，所有病例术后肾功能均有改善或恢复正常。3例继发性患者2例分别于术后4个月、9个月死于原发病。 结论 腹膜后纤维化所致上尿路梗阻病例采用静脉肾盂造影或逆行造影、B型超声、CT与X线等检查可明确诊断，治疗以去除病因、解除尿路梗阻保护肾功能为主要治疗方法。

    关键词 腹膜后纤维化 尿路梗阻

    Clinical study of urinary tract obstruction caused by retroperitoneal fibrosis

    Liu Liwei，Han Ruifa，Zhang Tong

    Department of Urology，The Second Hospital，Tianjin Medical University，Tianjin Institute of Urological Surgery，Tianjin300211

    【Abstract】 Objective To investigate the clinical characteristics of retroperitoneal fibrosis and explore the cause，diagnosis and treatment of it.Methods A retrospective study of9cases of retroperitoneal fibrosis causing uri-nary tract obstruction had been made.3cases were proven to be secondary and6cases were classified an idiopathic retroperitoneal fibrosis.Surgical intervention was undertaken in all of6idiopathic cases.In the secondary retroperi-toneal fibrosis group ......