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目的:总结10年来28例肾皮质感染的诊治经验。方法:采用IVU检查12例,CT扫描20例,全部行B超检查,14例行脓液培养均获确诊。按病灶中央有无液化分为非脓肿组(A组)和脓肿组(B组),A组15例给予单纯抗生素治疗,B组13例行抗生素加经皮肾穿刺引流(或置管引流)治疗。结果:A组中治愈14例,配合经皮穿刺治愈1例。B组治愈11例,2例改行手术后痊愈。18例获得3个月～1年随访,无复发。结论:在肾皮质感染的影像学检查中,B超较CT更具实用价值。治疗上应按病理阶段采用不同的治疗方法,当形成肾脓肿时,抗生素加经皮肾穿刺引流疗效较好。
Objective: To summarize the diagnosis and treatment of 28 cases of renal cortex infection in 10 years. Methods: 12 cases were examined by IVU and 20 cases by CT scan. All of them were diagnosed by B-mode ultrasonography and 14 cases were confirmed by pus culture. According to whether there was liquefaction in the center of the lesion, the patients were divided into non-abscess group (A group) and abscess group (B group), 15 patients in group A were given antibiotics alone, and 13 patients in group B received antibiotic plus percutaneous nephrolithotomy (or catheter drainage) treatment. Results: 14 cases were cured in group A, and 1 case was cured by percutaneous puncture. In group B, 11 cases were cured and 2 cases recovered after surgery. 18 cases were 3 months to 1 year follow-up, no recurrence. Conclusion: In the imaging examination of renal cortex infection, B ultrasound is more practical value than CT. Treatment should be based on the pathological stage using different treatments, when the formation of renal abscess, antibiotic plus percutaneous renal drainage better.