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Kidney sparing operation in the surgical treatment of calculous pyonephrosis
Author(s): RUAN Yuanfeng, ZHANG Qinghua, LI Haicheng, ZHANG Rentao, CHEN Lianda, ZHOU Zuo
Pages: 673-
674
Year: 2003
Issue:
10
Journal: CHINESE JOURNAL OF UROLOGY
Keyword: 尿结石; 肾; 脓肿;
Abstract: 目的探讨结石性肾积脓(结石性脓肾)的病理特点及保肾手术治疗的价值. 方法对31例一期取石加肾造瘘或输尿管放置双J管的结石性脓肾患者的临床资料进行分析.男19例,女12例;平均年龄38岁.左侧11例,右侧20例.发病时间平均3年5个月. 结果术后随访23例,患肾功能恢复或部分恢复18例(78.3%),术后1年发生肾萎缩5例(21.7%),复发结石3例(13.0%). 结论发病时间较短、梗阻解除后肾皮质血运改善的结石性脓肾保肾手术是可行的,局部肾皮质厚薄并非保留患肾的主要依据.
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