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目的 :探讨 Page肾的诊治方法。方法 :结合文献总结分析 6例 Page肾的临床资料。结果 :2例术前行经皮肾穿刺抽液治疗 ,3d后病人腰痛复发 ,复查超声或 CT检查结果同穿刺前一样 ,6例均行经腰的肾包膜切开引流术 ,术后病人症状消失。结论 :Page肾是指各种原因引起的肾包膜下积液 (积血及积尿 )。以右侧多见。以肾区或上腹部钝性外伤为主要原因。病人以患侧腰腹部胀痛为主诉。超声检查是基本的检查方法。CT检查是诊断 Page肾的主要手段。经皮肾刺抽液效果不佳 ,短期内会复发。对有临床症状的 Page肾行经腰的肾包膜切开引流术是效果良好的治疗方法。肾切除术没有必要 ,因为患肾的肾功能没有大的损害。
Objective: To explore the diagnosis and treatment of Page kidney. Methods: The clinical data of 6 cases of Page kidney were analyzed and summarized according to the literature. Results: 2 cases were treated with percutaneous nephrolithotomy before operation. The patient had recurrent back pain after 3 days. The results of ultrasound or CT examination were the same as those before the procedure. Six cases underwent percutaneous lumbar nephroureterectomy and drainage, and the symptoms disappeared after operation . Conclusion: Page renal refers to various causes of renal subcapsular effusion (hemorrhage and urine). More common to the right. The kidney or upper abdomen blunt trauma as the main reason. Patients with abdominal pain in the main abdominal pain complaints. Ultrasound examination is the basic method of examination. CT examination is the diagnosis of Page kidney the main means. Percutaneous renal pricking fluid poor results in the short term will relapse. The clinical symptoms of Page kidney line by the renal capsule incision and drainage is a good treatment. Nephrectomy is not necessary because there is no major impairment of renal function in the kidney.