黄色肉芽肿性肾盂肾炎诊断与治疗  被引量:4

Diagnosis and treatment of xanthogranulomatous pyelonephritis

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作  者:万克松[1] 胡卫列[1] 李清荣[1] 汪帮琦[1] 夏照明[1] 朱陈辉[1] 童亮[1] 淡明江[1] 

机构地区:[1]广州军区广州总医院泌尿外科研究所,广东广州510010

出  处:《现代泌尿外科杂志》2012年第4期377-379,共3页Journal of Modern Urology

摘  要:目的探讨黄色肉芽肿性肾盂肾炎的诊断及治疗方法。方法对2002年~2010年收治的黄色肉芽肿性肾盂肾炎10例患者的临床资料进行回顾性分析,结合文献复习,就其临床表现、影像学特征、诊断及鉴别诊断、治疗等问题进行讨论。结果 9例患者术前误诊,1例患者经B超引导下肾穿刺活检确诊,所有病例均经病理确诊为黄色肉芽肿性肾盂肾炎,1例予以单纯抗感染治疗,症状消失,9例行手术治疗,其中3例行根治性肾切除术,4例行肾切除术,2例行肾部分切除术。术后效果良好,随访5例,至今无1例复发。结论黄色肉芽肿性肾盂肾炎临床表现复杂多样,缺乏特异性,极易误诊。B超引导下肾穿刺活检,是确诊的良好手段。抗感染及手术是治疗的主要手段。Objective To explore the diagnosis and treatment of xanthogranulomatous pyelonephritis(XGP).Methods Data of 10 cases of XGP treated in our hospital during 2002 to 2010 were retrospectively studied.The clinical features,laboratory data,imaging findings,diagnosis and differential diagnosis were discussed.Results 9 patients with XGP were misdiagnosed preoperatively,and 1 case was confirmed with combined use of ultrasonography and kidney puncture biopsy.3 cases received radical nephrectomy,4 nephrectomy and 2 partial nephrectomy.1 case was treated with antibiotics.Conclusions XGP doesn't have typical clinical manifestations,which can lead to misdiagnosis.Ultrasonography combined with kidney puncture biopsy is a good method to make a definite diagnosis.Antibiotics and surgery are important therapeutic methods.

关 键 词:肾盂肾炎 黄色肉芽肿性 诊断 鉴别诊断 治疗 

分 类 号:R692[医药卫生—泌尿科学]

 

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