梗阻性肾积脓103例的临床分析

• 作 者: 刘日升 邓婉娣 范雪金 李红辉
• 机 构: 东莞市石龙博爱医院,东莞市石龙博爱医院,东莞市石龙博爱医院,东莞市石龙博爱医院 广东东莞 523321,广东东莞 523321,广东东莞 523321,广东东莞 523321
• 出 处: 中国医疗前沿
• 发表日期: 2007年14期
• 关键词: 肾积脓 诊断 治疗

目的探讨梗阻性肾积脓的早期诊断及治疗措施。方法一分析103例梗阻性肾积脓的临床特点、诊断和治疗,并结合文献进行讨论。结果103例均经外科手术或经皮肾穿证实,而C反应蛋白变化是肾积脓的一个敏感早期诊断指标。其中52例行患肾切除术,29例行肾孟或输尿管切开取石术,7例行经皮肾穿造瘘术,15例行输尿管镜腔内碎石术及置双J管内引流术。结论及时早期正确诊断和治疗是避免肾切除的关键。

Objective To investigate the early diagnosis and treatment of obstructive pyriphous pyorrhea. Method Ⅰ Analysis of 103 cases of obstructive renal empyema clinical features, diagnosis and treatment, combined with the literature to discuss. Results All the 103 cases were confirmed by surgery or percutaneous renal access. The changes of C-reactive protein were a sensitive and early diagnostic indicator of pyonephrosis. Among them, 52 patients underwent nephrectomy, 29 underwent renal pelvis or ureterolithotomy, 7 underwent percutaneous nephrostomy and 15 underwent ureteroscopic lithotripsy and double-J catheter drainage. Conclusion The timely and correct diagnosis and treatment of early is the key to avoid the nephrectomy.