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目的 :提高上尿路梗阻并发肾积脓的诊治水平。方法 :分析 33例上尿路梗阻并发肾积脓患者的临床特点、诊断和治疗 ,并结合文献进行讨论。结果 :33例均经手术或穿刺造瘘证实 ,依临床症状分为急性型和慢性型 ,其中 15例行肾切除 ,10例行肾盂或输尿管切开取石术 ,8例行肾造瘘术。结论 :早期正确的诊断和治疗是避免肾切除的关键。
Objective: To improve the diagnosis and treatment of upper urinary tract obstruction complicated with pyorrhea. Methods: The clinical features, diagnosis and treatment of 33 patients with upper urinary tract obstruction complicated with pyometra were analyzed and discussed in the literature. Results: All the 33 cases were confirmed by operation or puncture ostomy. According to clinical symptoms, they were divided into acute type and chronic type. Among them, 15 cases underwent nephrectomy, 10 cases underwent renal pelvis or ureterolithotomy and 8 cases underwent nephrostomy. Conclusion: Early correct diagnosis and treatment is the key to avoiding nephrectomy.