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黄色肉芽肿性肾盂肾炎4例误诊分析
引用本文:章久武,沈洪,吴涛,冷国雄,王宝鑫,叶仁照.黄色肉芽肿性肾盂肾炎4例误诊分析[J].皖南医学院学报,2004,23(2):119-121.
作者姓名:章久武  沈洪  吴涛  冷国雄  王宝鑫  叶仁照
作者单位:黄山市人民医院,泌尿外科,安徽,黄山,245000
摘    要:目的 探讨黄色肉芽肿性肾盂肾炎的误诊原因、诊断及治疗方法。方法 总结 4例黄色肉芽肿性肾盂肾炎的临床表现、实验室检验、影像学检查结果并结合文献复习予以分析。结果  4例误诊 ,2例行单纯肾切除术 ,1例行肾脏病灶清除术 ,1例行根治性肾切除术 ,术后疗效好 ,未见复发。

关 键 词:黄肉芽肿性  肾盂肾炎  活组织检查
文章编号:1002-0217(2004)02-0119-03
修稿时间:2003年11月15

Xanthogranulomatous pyelonephritis(4 cases of misdiagnosis)
ZHANG Jiu-wu,SHEN Hong,WU Tao,LENG Guo-xiong,WNAG Bao-xin,YE Re-zhao.Xanthogranulomatous pyelonephritis(4 cases of misdiagnosis)[J].Acta Academiae Medicinae Wannan,2004,23(2):119-121.
Authors:ZHANG Jiu-wu  SHEN Hong  WU Tao  LENG Guo-xiong  WNAG Bao-xin  YE Re-zhao
Abstract:Objective To study the causes of misdiagnosis of xanthogranulomatous pyelonephritis (XGP) and its diagnosis and treatments . Methods To summarize the clinical features, laboratory data and imaging findings of 4 cases of XGP,together with the review of related literature.Results Among the 4 cases , 2 were treated by nephrectomy , 1 by renal cavernostomy and 1 by redical nephrectomy .All cases were cured through operation and no relapse occuced . Conclusion In order to prevent the misdiagnosis computerized tomoscanning together with renal arteriography and renal biopsy should all be used.
Keywords:xanthogranulomatous  pyelonephritis  biopsy
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