Rocher L, De Leusse-Vialar A, Tasu J P, Rondeau Y, Miquel A, Bazille A, Eschwege P, Bléry M
Service de Radiologie générale, Hopital de Bicêtre, Le Kremlin Bicêtre.
J Radiol. 1999 Mar;80(3):297-302.
The propose of this study was to describe the imaging findings in four patients with emphysematous pyelonephritis and to perform a review of the literature.
Four cases of emphysematous pyelonephritis are presented. US and CT examinations were available for all patients.
Gas within the kidney may be diagnosed by plain film or rarely by ultrasound, but its location and its extent are best evaluated by CT. A review of the literature shows that emphysematous pyelonephritis is a rare and life-threatening infection typically occurring in diabetic patients.
CT is useful for diagnosing emphysematous pyelonephritis, especially when symptoms fail to resolve promptly with medical therapy.
本研究旨在描述4例气肿性肾盂肾炎患者的影像学表现并对文献进行综述。
介绍了4例气肿性肾盂肾炎病例。所有患者均进行了超声和CT检查。
肾脏内的气体可通过平片诊断，很少能通过超声诊断，但其位置和范围最好通过CT评估。文献综述表明，气肿性肾盂肾炎是一种罕见的、危及生命的感染，通常发生在糖尿病患者中。
CT对气肿性肾盂肾炎的诊断很有用，尤其是在药物治疗后症状未能迅速缓解时。
