摘要
目的 :提高上尿路梗阻并发肾积脓的诊治水平。方法 :分析 33例上尿路梗阻并发肾积脓患者的临床特点、诊断和治疗 ,并结合文献进行讨论。结果 :33例均经手术或穿刺造瘘证实 ,依临床症状分为急性型和慢性型 ,其中 15例行肾切除 ,10例行肾盂或输尿管切开取石术 ,8例行肾造瘘术。结论 :早期正确的诊断和治疗是避免肾切除的关键。
Purpose:To improve the diagnosis and treatment of upper urinary tract obstruction complicated with pyonephrosis.Methods:The Clinical characteristics,diagnosis and treatment of upper urinary tract obstruction complicated with pyonephrosis in 33 cases were reviewed,and discussed in the light of literature.Results:The divagnosis of all 33 cases was confirmed by operation or/and by percutaneous nephrostomy.All the 33 cases could be divided into two types according to clinical characteristics:acute and chronic.Among them,15 cases received nephrectomy,10 pyelolithotomy or urterolithotomy,8 nephrostomy.Conclusions:Early diagnosis and reasonable treatment is the key to avoid the loss of kidney.
出处
《临床泌尿外科杂志》
2000年第5期201-202,共2页
Journal of Clinical Urology
关键词
上尿路梗阻
肾积脓
诊断
治疗
并发症
Urethral obstruction Pyonephrosis Diagnosis Treatment
