原发卵巢癌致自发性肾盂破裂1例报告并文献复习  

Spontaneous rupture of the renal pelvis caused by primary ovarian cancer(One case report and literature review)

作　　者：陈锐[1] 岳明[1] 宋笑童 刘小勇[1] 

机构地区：[1]解放军306医院泌尿外科,北京100101

出　　处：《临床泌尿外科杂志》2014年第1期59-60,64,共3页Journal of Clinical Urology

摘　　要：目的:探讨自发性肾盂破裂的临床特点。方法:回顾1例自发性肾盂破裂女性患者的临床资料,并结合文献分析其常见病因、机制和诊治方法。结果:通过静脉肾盂造影及逆行造影明确尿外渗,MRI对病因的诊断提供了帮助,通过经皮肾穿刺造瘘解决了尿外渗的问题。结论:肾盂自发性破裂临床少见,恶性肿瘤是其病因之一,对于此类患者,经皮肾穿刺造瘘是较好的治疗方法。Objective： To study the clinical characteristics of spontaneous rupture of the renal pelvis. Method： We retrospectively reported and described the clinical data of a woman with spontaneous rupture of the renal pel- vis. The etiopathogenesis, diagnosis and management were analyzed combined with related literatures. Result： The diagnosis of renal pelvis rupture was confirmed by intravenous pyelography and retrograde pyelography. Mo- reover, MRI could be helpful in diagnosis. However, percutaneous nephrostorny resolved the problem of urinary extravasation. Conclusion： Spontaneous rupture of the renal pelvis with urine extravasation is an uncommon patho- logical condition. Malignant tumor is one of etiological factors. A decompressive percutaneous nephrostomy is an effective treatment method.

关 键 词：自发性 卵巢癌 破裂 肾盂 

分 类 号：R692.7[医药卫生—泌尿科学]