黄色肉芽肿性肾盂肾炎(附30例报告)  

Xanthogranulomatous pyelonephritis (report of 30 cases)

作　　者：李晓飞[1] 梅骅[1] 郑克立[1] 曾金云[1] 丘少鹏[1] 戴宇平[1] 陈凌武[1] 

机构地区：[1]中山医科大学附属第一医院泌尿外科,广州510080

出　　处：《中华泌尿外科杂志》2000年第10期606-608,共3页Chinese Journal of Urology

摘　　要：目的　探讨黄色肉芽肿性肾盂肾炎 (XGP)的早期诊断方法及治疗效果。　方法　回顾性总结 30例XGP临床表现、实验室检查结果、影像学特点及不同治疗方法的疗效。　结果　IVU及B超检查无特异性。CT扫描 19例 ,5例诊断为弥漫型XGP ,3例经B超引导下穿刺活检而确诊。 30例XGP中 1例经抗炎治疗痊愈 ,2 9例手术治疗 ,其中肾部分切除术 2例 ,肾根治切除术 10例 ,肾切除术 17例。　结论　弥漫型XGP可通过CT扫描而确立诊断 ,局灶型XGP及影像学不典型的弥漫型XGP可经B超定位穿刺活检而确诊。Objective To investigate the method of early diagnosis and appropriate treatment of XGP. Methods 30 cases of XGP were retrospectively reviewed. The clinical management and follow up results were evaluated. Results Intravenous urogram and sonography revealed no specific finding.CT scan was performed in 19 of the 30 cases and 5 cases of diffue XGP were diagnosed correctly.3 cases were diagnosed with the combined use of ultrasonography and fine needle aspiration.29 cases were treated surgically including partial nephrectomy in 2,total nephrectomy in 17 and radical nephrectomy in 10.The other case received antibiotics with complete resolution. Conclusions Diffuse XGP could be diagnosed on CT scanning.The diagnosis of focal XGP and diffuse XGP without characteristic CT signs might be acheived with the combined use of ultrasonography and fine needle aspiration.Partial or total nephrectomy could be undertaken for XGP according to its clinical stage.

关 键 词：肾盂肾炎 黄色肉芽肿 XGP 早期诊断 治疗 

分 类 号：R692.5[医药卫生—泌尿科学]