摘要
目的:探讨上尿路梗阻性肾积脓的外科处理方法.方法:对64例上尿路梗阻性肾积脓患者均行外科处理,再配合以抗生素治疗.结果:手术解除梗阻而保肾的44例患者,经1个月～5年随访(平均26个月),IVU:5～15 min显影良好者为28例(63.6%),16～30 min显影良好者10例(22.7%),30 min以后显影为6例(13.7%).18例肾切除术者对侧肾功能均正常.2例因拒绝手术经输尿管导管引流后症状好转出院.结论:上尿路梗阻性肾积脓以结石梗阻为主(78.1%).积极的外科手术能解除梗阻保留肾功能,肾实质造瘘加双J管内支架引流是比较有效的治疗手段.
Objective:To improve surgical treatment level of pyonephrosis.Methods:Surgical treatment and antibiotic treatment had been performed in 64 cases of pyonephrosis.Results:In all 44 cases retained renal function, 38(86.3%) obtained renal visualization within thirty minutes in IVU and 6(13.7%) obtained after thirty minutes. 18 cases were underwent nephrectomy.Conclusions:The main risk factors of pyonephrosis is urolithiasis (78.1%). Active Surgery treatment can relive obstruction and retained renal function, nephrostomy and insert double J tube through ureter is effective therapeutic measures.
出处
《临床泌尿外科杂志》
2005年第4期226-227,共2页
Journal of Clinical Urology
关键词
肾积脓
尿路梗阻
外科处理
Pyonephrosis
Urinary obstruction
Surgical treatment
