黄色肉芽肿性肾盂肾炎(附16例报告)

Xanthogranulomatous Pyelonephritis: A Report of 16 Cases

目的 探讨黄色肉芽肿性肾盂肾炎的术前诊断及治疗方法。方法 对 1978年～ 2 0 0 3年收治的 16例XGP患者的临床资料进行回顾性分析 ,结合文献复习 ,就其临床表现、诊断及治疗等问题进行讨论。结果 16例均经病理检查证实为XGP ,术后效果良好 ,随访至今无 1例复发。结论 根据病史、症状、体征及尿中找到泡沫细胞结合CT检查XGP诊断有望成立 ,必要可肾穿刺活体组织检查以确诊。

Objective To explore the preoperative diagnosis and treatment of xanthogranulomatous pyelonephritis(XGP). Methods The clinical data of 16 patients with XGP from 1978 to 2003 were retrospectively reviewed, and its clinic symtoms, diagnosis and therapy were discussed in combination with literature review. Results 16 cases of patients with XGP confirmed by histopathological examination recovered well after operation, and did not relapse till now. Conclusion According to medical history, symptom, physical sign, the foam cells in urine and CT examination, XGP could be diagnosed. Sometimes, fine needle aspiration biopsy should be done in order to confirm the diagnosis of XGP. The operation was a major method for treating this disease.