肾皮质脓肿11例临床分析  

Clinical features of 11 cases of renal cortical abscess

作　　者：蔡涛[1] 潘曙光[1] 

机构地区：[1]北京首都国际机场医院泌尿外科,100621

出　　处：《中华全科医师杂志》2007年第6期353-354,共2页Chinese Journal of General Practitioners

摘　　要：目的探讨肾皮质脓肿的诊断与治疗方法,减少误诊率。方法对1991年3月至2003年6月诊治的11例肾皮质脓肿患者的临床资料进行回顾性分析。结果 11例患者中,治疗前确诊9例(82%),7例行脓肿切开引流术治疗后痊愈,1例经皮肾脓肿穿刺因引流不畅后改脓肿切开引流术治疗后痊愈,静脉应用抗生素治愈1例;2例(18%)误诊为肾癌,行根治性肾切除术。结论肾皮质脓肿的确诊需结合临床表现、实验室检查、影像学检查进行综合分析。脓肿切开引流术是主要的治疗方法。Objective To explore methods of diagnostic and treatment for renal cortical abscess to reduce its misdiagnosis. Methods Eleven cases of renal cortical abscess diagnosed and treated at Beijing International Airport Hospital during 1991 to 2003 were reviewed and analyzed. Results Among the 11 patients with renal cortical abscess, diagnosis was established in nine （82%） before treatment, seven were cured by incision and drainage, one was cured by incision and drainage only after failure in pereutaneous nephropuncture, and one was cured by intravenous injection of antibiotics. Two cases （18%） were misdlagnosed as renal cancer and radical nephrectomy were performed for them. Conclusions Diagnosis for renal cortical abscess should be based on combination of patients＂ clinical manifestation, laboratory examinations and imaging findings. Incision and drainage is the choice of treatment for renal cortical abscess.

关 键 词：肾皮质 脓肿 诊断 治疗 

分 类 号：R692[医药卫生—泌尿科学]