经皮肾穿刺造瘘治疗急性梗阻性脓肾

Treatment of acute obstructive pyelonephritis with puncture and canalization

目的 评价经皮肾穿刺造瘘术在治疗急性梗阻性脓肾中的价值。方法 对 37例急性梗阻性脓肾行B超定位引导经皮肾穿刺造瘘治疗 ,根据引流情况判断病肾功能 ,决定Ⅱ期处理措施。结果 本组穿刺造瘘术后未见并发症 ,其中 2 1例 (5 6 8% )引流后患肾功能恢复良好 ,Ⅱ期手术解除梗阻病因 ,患肾得以保存 ;另 16例 (43 2 % )患肾功能未能恢复 ,Ⅱ期行患肾切除术。结论 经皮肾穿刺造瘘治疗急性梗阻性脓肾安全可靠、简单易行、创伤小、并发症少 ,对急性梗阻性脓肾的早期诊断和治疗均有重要价值。

Objective To evaluate the value of puncture and canalization in treating acute obstrutive pyelonephrits (PN). Methods 37 cases of patients with acute obstructive PN were treated with puncture and canalization, and decided the treating measures of stag Ⅱ according to post operative function of demaged kidney. Results There were no complications in these patients. Function of demaged kidneys of 21 (56.8%) patients was recovered greatly after puncture and canalization. After obstruction was relieved with stage Ⅱ operation, demaged kidney was save. Demaged kidneys of the remaining 16(43.2%) patients whose demaged kidneys' function was unrecovered were resected on stage Ⅱ. Conclusions The treatment of acute obstructive PN with puncture and canalization was safe, simple and reliable method with little injure and few complications, It was valuable in early diagnose and treatment of PN.