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报告肾、肾盂、膀胱及膀胱并发输尿管淀粉样病变4例,除1例行血液透析和血浆置换外,余均行手术治疗。结果1例死于肾衰,1例2次复发,另2例随访至今未见复发;4例中无一例癌变。并复习文献就其分类、病因、临床表现、诊断及治疗进行了讨论,认为本病缺乏特异性表现,确诊需依赖病理和特殊染色检查;临床上只要疑为本病,均应作常规免疫学检查;其治疗可根据病变部位和性质行手术治疗或药物保守治疗。
Report renal, renal pelvis, bladder and bladder complications of amyloidosis in 4 cases, except for 1 case of hemodialysis and plasma exchange, Yu even surgery. Results One patient died of renal failure, one patient had two recurrences and the other two patients had no recurrence till now. None of the four patients had cancer. And review the literature on its classification, etiology, clinical manifestations, diagnosis and treatment were discussed, that the lack of specific performance of this disease, the diagnosis depends on the pathology and special staining; as long as the clinical suspicion of this disease should be routine immunology Check; its treatment can be based on the location of the lesion and nature of surgical treatment or drug conservative treatment.