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目的:分析盆腔脂肪增多症(pelvic lipomatosis,PL)的临床特征。方法:通过回顾1例以双下肢水肿为首发症状PL患者的诊断及治疗过程,结合文献分析PL的临床特征。结果:根据临床症状及B超(B-ult rasound,B-US)、CT、磁共振尿路成像(magnetic resonace urography,MRU)等影像学检查,对PL进行诊断;采用抗生素及对症治疗,3个月后复诊,患者症状消失,肾功能无明显变化。结论:PL临床罕见,病因未明,症状多变,其特异性影像学表现有助于诊断,临床处理主要针对并发症,定期随访很重要。
Objective: To analyze the clinical features of pelvic lipomatosis (PL). Methods: One case of PL with edema of both lower extremities was reviewed. The clinical features of PL were analyzed in combination with the literature. Results: The diagnosis of PL was based on clinical symptoms and B-ultrasound (B-US), CT, magnetic resonance imaging (MRU) and other imaging studies. Antibiotics and symptomatic treatment were used. 3 After months of referral, the symptoms of the patient disappeared, no significant changes in renal function. Conclusion: The clinical manifestations of PL are rare, the etiology is unknown, and the symptoms are variable. The specific imaging findings are helpful for diagnosis. Clinical treatment mainly focuses on complications and regular follow-up is very important.