摘要
目的:探讨上尿路梗阻致肾包膜下积血或积脓类似病例的诊断及治疗方法。方法:回顾性分析3例上尿路梗阻致肾包膜下积血或积脓患者临床资料:3例患者均行开放手术探查,1例清除陈旧性积血后行肾盂输尿管离断成形术,1例清除血肿后行肾切除术,1例清除积脓引流后留置肾造瘘管待Ⅱ期行经皮肾镜碎石取石术。结果:全部患者均恢复良好,无远期并发症出现。结论:上尿路梗阻致肾包膜下积血或积脓发生机制不明,影像学诊断中CT较为敏感,处理应积极手术探查,清除血肿及外科引流,解除梗阻或留置肾造瘘管待Ⅱ期手术。
Objective： To discuss the diagnosis and treatment methods of Upper Urinary Tract Obstruction Lead to Renal Subcapsular Hematoma or Empyema. Methods：Three cases of clinical data were retrospectively ana- lyzed. They were explored by open operations . Obsolete hematocele was cleared in one patient was and then performed with Anderson Hynes operation. Hematoma was cleared in one case and then he was operated with nephrectomy. Empyema was cleared up in one case and the tube was detained into pelvis for two stage operation with percutaneous nephrolithotomy. Results： All cases recovered well and there were no long term complications. Conclusions：Upper urinary tract obstruction may lead to renal subcapsular hematoma or empyema with unknown pathogenesis, CT imaging is more sensitive to diagnose. Surgical exploration should be done to remove the hematoma and place surgical drainage, to remove the obstruction or to place a nephrostomy tube for delayed surgery.
出处
《临床泌尿外科杂志》
北大核心
2010年第9期668-670,共3页
Journal of Clinical Urology
关键词
上尿路梗阻
肾包膜下积液
诊断
治疗
upper urinary tract obstruction
renal suhcapsular effusion
diagnosis
trealment
