肾皮质化脓性感染(附27例报告)

Suppurative infection of renal cortex(report of 27 cases)

目的 提高肾皮质化脓性感染的诊治效果。 方法 回顾性分析肾皮质化脓性感染2 7例 ,其中急性细菌性肾炎 16例 ,肾皮质脓肿 11例。 结果 14例急性细菌性肾炎及 7例肾皮质脓肿经抗炎治疗治愈 ;4例肾皮质脓肿 (直径 >5cm)经手术引流治愈 ;2例急性细菌性肾炎行肾切除术。 结论 此两种疾病可经临床表现、辅助检查及试验性治疗诊断 ,CT及B超等影像学检查对诊断有很大价值。两者均有肿块表现 ,故需与肾癌鉴别。急性细菌性肾炎及直径 <5cm的肾皮质脓肿可保守治疗 ,>

Objective To study the diagnostic and therapeutic means of kidney cortex suppurative infection. Methods 27 cases of kidney cortical suppurative infection were studied retrospectively. Results 14 cases of acute bacterial nephritis and 7 cases of renal cortical abscess were cured on antibiotics therapy.Nephrectomy was performed for 2 patients with acute bacterial nephritis and 4 cases of renal cortical abscess greater than 5 cm in diameter were cured by surgical intervention. Conclusions These two diseases can be diagnosed by comprehensive evaluation of clinical manifestation,auxialliary examination and treatment trials.CT and B ultrasonography both play an important role.Renal cell carcinoma should be excluded in diagnosis because these two likewise show a mass on imaging.Antibiotics can be used in acute bacterial nephritis and in renal cortical abscess less than 5 cm in diameter whereas in abscess larger than 5 cm, surgical intervention is needed.