论文部分内容阅读
目的:探讨自发性肾盂破裂的临床特点。方法:回顾1例自发性肾盂破裂女性患者的临床资料,并结合文献分析其常见病因、机制和诊治方法。结果:通过静脉肾盂造影及逆行造影明确尿外渗,MRI对病因的诊断提供了帮助,通过经皮肾穿刺造瘘解决了尿外渗的问题。结论:肾盂自发性破裂临床少见,恶性肿瘤是其病因之一,对于此类患者,经皮肾穿刺造瘘是较好的治疗方法。
Objective: To investigate the clinical features of spontaneous renal pelvis rupture. Methods: The clinical data of one female patient with spontaneous renal pelvis rupture were retrospectively analyzed, and their common etiologies, mechanisms and diagnosis and treatment were analyzed. Results: Intravenous pyelography and retrograde angiography were used to clarify urinary extravasation. MRI assisted the diagnosis of the etiology and solved the problem of urinary extravasation by percutaneous nephrostomy. Conclusion: The spontaneous rupture of the renal pelvis is rare, and malignant tumors are one of the etiological factors. Percutaneous nephrostomy is a good treatment for these patients.