肾脏包虫病5例分析及文献复习  

Analysis of Renal Hydatidosis in 5 Cases and Literature Review

作　　者：刘炜[1] 刘夏铭[2] 王志华[2] 王少刚[2] 

机构地区：[1]青海红十字医院泌尿外科,西宁810000 [2]华中科技大学同济医学院附属同济医院泌尿外科

出　　处：《临床泌尿外科杂志》2011年第10期736-737,共2页Journal of Clinical Urology

摘　　要：目的:总结肾脏包虫病的诊断及治疗经验,旨在提高对该病的认识水平。方法:对2004～2010年收治5例肾包虫病的临床资料进行回顾性分析及文献复习。结果:5例患者均生活在包虫流行区,临床表现主要以腰部包块,隐痛不适,肾绞痛伴尿频尿急尿痛"米汤样尿"为主,辅助检查主要经B超、CT诊断、血清免疫学检查确诊。治疗方法4例行肾包虫内囊摘除术,其中1例先行肝包虫内囊摘除残腔大网膜填塞再行右肾包虫内囊摘除术,1例行肾切除术。5例患者术后随访12～46个月无复发。结论:肾包虫以腰部包块,隐痛为主要表现,临床上可通过B超、CT、血清免疫学检查确诊,手术是目前有效的治疗方法,预后好。Objective：To summarize thediagnosis andtreatment experience on renal hydatidosis, to improve the understanding of the disease. Method：5 cases of renal hydatidosis were retrospectively investigated in our depart- ment from 2004 to 2010. Result：The 5 cases of renal hydatidosis lived in the endemic area. The major clinical mani- festations were lumbar mass, dull pain, renal colic with urinary frequency , urgency, dysuria and＂rice-water like＂ u- rine,and the auxiliary examinations including ultrasound,CT and serological immunology test. 4 cases were taken by excising ofthe renal hydatid internal capsule,the other one was taken by nephrectomy. There was no recurrence of the 5 patients during 12-46 months follow-up . Conclusion.. The major clinical manifestations of renal hydatidosis are lumbar mass and dull pain. We can use ultrasound,CT and serological test to clarify the diagnosis. Surgical op- eration is an effective treatment of this disease,and the prognosis is good.

关 键 词：肾包虫病 诊断 内囊摘除术 

分 类 号：R692[医药卫生—泌尿科学]