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作 者:闫嘉宇 沈页 顾晓[1] YAN Jia-yu;SHEN Ye;GU Xiao(Northern Jiangsu People’s Hospital Affiliated to Yangzhou University,Yangzhou Jiangsu 225001;Dalian Medical University,Dalian Liaoning 116000,China)
机构地区:[1]扬州大学附属苏北人民医院泌尿外科,江苏扬州225001 [2]大连医科大学研究生院,辽宁大连116000
出 处:《泰州职业技术学院学报》2022年第3期88-90,共3页Journal of Taizhou Polytechnic College
摘 要:目的提高对巨大肾包膜下积液发病机制及临床诊疗的认识。方法报告一例年轻女性双侧巨大肾包膜下积液病例,复习相关文献并讨论。结果患者为晚期宫颈癌导致的双侧肾包膜下积液,已出现急性肾衰竭。通过肾包膜穿刺引流和肾盂穿刺引流后,肾包膜下积液基本消失,肾功能恢复正常。结论宫颈癌致双侧巨大肾包膜下积液临床上罕见,可造成严重肾功能损害,及时引流是治疗的关键。对于肾包膜下积液年轻患者,也要考虑恶性肿瘤可能。Objective To learn about the pathogenesis,clinical diagnosis and treatment of massive renal subcapsular urinoma.Methods We report a young female with bilateral massive renal subcapsular urinoma and review the associated literatures.Results The bilateral massive renal subcapsular urinoma of the patient was secondary to advanced cervical cancer and her kidneys had failed.After renal capsule drainage and hydronephrosis drainage,the urinoma basically disappeared and her renal function return to normal.Conclusion Massive renal subcapsular urinoma is rarely seen and can cause serious damage to renal function.Timely drainage is the key to the treatment.Besides,malignant tumors should also be considered as the cause in young patients.
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