彩超引导穿刺肾结核并发脓肿及肾周脓肿的临床应用价值

Clinical application of puncture of renal tuberculosis complicated with nephrapotasis and perinephric abscess under the guidance of color Doppler flow imaging

目的 探讨介入性超声在肾结核并发脓肿及肾周脓肿中的诊断和治疗价值。方法 本组病例共36例。临床诊断肾周脓肿22例,肾结核并发脓肿14例,均在彩超引导下穿刺,部分患者置入引流管定期反复冲洗,抽取液送病检、生化、培养及药敏。结果 14例临床诊断肾结核并发脓肿者均行穿刺抽脓。其中12例临床诊断肾结核并发脓肿者与病检及培养、生化诊断相符,其诊断符合率达85％,另2例经病检及培养后,诊断为非特异性感染性肾脓肿。22例肾周脓肿中12例行穿刺抽脓冲洗,1倒置管引流,穿刺成功率达100％。结论 介入性超声在肾结核并发脓肿及肾周脓肿的诊断和治疗中具有重要的临床应用价值。

Objective To assess the diagnosing and treating value of interventional ultrasound in renal tuberculosis complicated with nephrapostasis and perinephric abscess, complicated with nephrapostasis and perinephric abscess. Methods There were 36 cases in this group clinically diagnosed as perinephric abscess 22 cases and renal tuberculosis 14 cases. All of them were punctured under the guidance of color Doppler flow imaging. Some of perinephric abscess cases were put in drainage ftubes which can be laved regularly and the extractives were sent to pathological , biochemical test, culture and drug sensitive test. Results It was punctured and the pus was extracted in 14 cases of clinically diagnosedvas renal tuberculosis complicated with nephrapostasis. The clinical diagnosis and pathological, biochemical test and culture were the same in 12 cases of them (85% ). The other 2 cases were diagnosed as nonspecific infectious nephrapostasis after pathological test and culture , 12 cases were punctured for extraction of pus and lavation, 10 cases were put in drainage tubes among 22 cases of perinephric abscess. The success rate is 100% . Conclusions The inter ventional ultrasound has important clinical value in diagnosis and treatment of renal tuberculosis complicated with neperapostasis and perinephric abscess.