目的　探讨黄色肉芽肿性肾盂肾炎的术前诊断及治疗方法。方法　对 1978年～ 2 0 0 3年收治的 16例XGP患者的临床资料进行回顾性分析 ,结合文献复习 ,就其临床表现、诊断及治疗等问题进行讨论。结果　 16例均经病理检查证实为XGP ,术后效果良好 ,随访至今无 1例复发。结论　根据病史、症状、体征及尿中找到泡沫细胞结合CT检查XGP诊断有望成立 ,必要可肾穿刺活体组织检查以确诊。治疗仍以手术为主 Objective To investigate the preoperative diagnosis and treatment of yellow granulomatous pyelonephritis. Methods The clinical data of 16 patients with XGP admitted from 1978 to 2003 were analyzed retrospectively. The clinical manifestations, diagnosis and treatment of the patients with XGP were analyzed retrospectively. Results All the 16 cases were proved to be XGP by pathological examination. The postoperative results were good. No recurrence was found up to now. Conclusion According to the history, symptoms, signs and found in the urine of foam cells combined with CT examination of XGP diagnosis is expected to be established, the need for renal biopsy can be confirmed by biopsy. The treatment is still based on surgery