黄色肉芽肿性肾盂肾炎4例误诊分析

Xanthogranulomatous pyelonephritis(4 cases of misdiagnosis)

目的 探讨黄色肉芽肿性肾盂肾炎的误诊原因、诊断及治疗方法。方法 总结 4例黄色肉芽肿性肾盂肾炎的临床表现、实验室检验、影像学检查结果并结合文献复习予以分析。结果 4例误诊 ,2例行单纯肾切除术 ,1例行肾脏病灶清除术 ,1例行根治性肾切除术 ,术后疗效好 ,未见复发。

Objective To study the causes of misdiagnosis of xanthogranulomatous pyelonephritis (XGP) and its diagnosis and treatments . Methods To summarize the clinical features, laboratory data and imaging findings of 4 cases of XGP,together with the review of related literature.Results Among the 4 cases , 2 were treated by nephrectomy , 1 by renal cavernostomy and 1 by redical nephrectomy .All cases were cured through operation and no relapse occuced . Conclusion In order to prevent the misdiagnosis computerized tomoscanning together with renal arteriography and renal biopsy should all be used.