肾包膜下积液的外科治疗

Surgical Treatment of Renal Subcapsular Effusion

目的:探讨肾包膜下积液的病因及诊治。方法:11例肾包膜下积液患者中10例在B超引导下行穿刺置管引流术,1例伴有肾结核行患肾切除术。结果:11例均治愈,术后随访2～15个月,平均10个月,4例有血压升高表现,术后1～4周血压逐渐降至正常。结论:B超、IVP、CT等影像学检查有助于确定肾包膜下积液范围及作出病因诊断,肾包膜下穿刺引流为首要的治疗方法,早期诊断治疗可避免肾实质损害。

Objective：To investigate the etiology, diagnosis and treatment of renal subcapsular fluid. Methods： 11 cases of renal subcapsular effusion in 10 cases in B-guided downstream catheterization drainage, patients with renal tuberculosis-line risk of ne- phrectomy. Results： 11 cases were cured, patients were followed up for 15 months, an average of 10 months, 4 cases of high blood pressure performance after four weeks the blood pressure gradually returned to normal. Conclusion： B-IVP, CT and other imaging tests to help determine the range of renal subcapsular fluid and to make the diagnosis of the cause, under the renal capsule puncture and drainage of the primary to be the treatment method, early diagnosis and treatment can avoid the damage of the renal parenchy- ma.