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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10kg,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。
Objective: To improve the diagnosis and treatment of pelvic fat disease (PL). Methods: A retrospective analysis was performed on the clinical diagnosis and treatment of one case of PL combined with left kidney with renal deformity. The diagnosis and treatment of PL with the related literature were discussed. Results: After 6 months of treatment, the patients’ weight loss was 10kg. The symptoms of urinary tract irritation were obviously improved than those before treatment. There was no obvious soreness and discomfort in the left and back of the patients in the normal range of creatinine. The first, B ultrasound showed left lower kidney still have water but with the weight to reduce the degree of water gradually reduced. Conclusion: X-ray, CT and MRI are the main diagnostic clues and basis of this disease. However, there is no unified standardization guideline for treatment. More prospective randomized controlled studies and normative treatment plans for multiple center cases are needed.