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目的探讨自发性肾盂破裂的临床特点、诊断及治疗。方法回顾性分析1例输尿管上段结石引起自发性肾盂破裂患者的临床资料,并结合文献分析其常见病因、机制和诊治方法。结果临床上自发性肾盂破裂较为少见,最常见为输尿管结石梗阻所引起。结论 CT检查可为诊断自发性肾盂破裂提供最直接有效的证据。对于生命体征平稳、有强烈保肾需求者,治疗方法以保守治疗及引流为主,必要时可行肾动脉选择性栓塞。
Objective To investigate the clinical features, diagnosis and treatment of spontaneous renal pelvis rupture. Methods The clinical data of 1 patient with spontaneous renal pelvis rupture caused by upper ureteral calculi were retrospectively analyzed. The common causes, mechanisms and diagnosis and treatment methods were analyzed. Results The clinical spontaneous renal pelvis rupture is relatively rare, the most common cause of ureteral calculi obstruction. Conclusion CT examination can provide the most direct and effective evidence for the diagnosis of spontaneous renal pelvis rupture. For the vital signs of a stable, there is a strong demand for kidney protection, conservative treatment of treatment and drainage-based, if necessary, feasible renal artery selective embolization.