Sow Y, Fall B, Sarr A, Thiam A, Diao B, Fall P A, Ndoye A K, Ba M, Diagne B A
Service d'Urologie-Andrologie, Hôpital A Le Dantec Dakar, Sénégal.
Med Trop (Mars). 2011 Oct;71(5):495-8.
To report epidemiological, clinical and paraclinical features of pyonephrosis and describe current management methods in Senegal.
This retrospective study includes a series of patients admitted for pyonephrosis to the Urology Department of the Aristide Le Dantec Hospital in Dakar between 1995 and 2009. The following information was collected for each patient: age, sex, clinical manifestations, diagnostic findings, treatment modalities and outcomes.
A total of 44 patients with a mean age of 34 years were included. The most common clinical manifestations were acute flank pain, sepsis and renal mass. Diagnostic was usually based on medical imaging, i.e., renal utrasonography and computed tomography. Urolithiasis was the underlying etiology in 73.2% of cases. Nephrectomy was performed in 83% of cases with or without preliminary nephrostomy catheterization.
Development of both diagnostic (medical imaging) and therapeutic methods for management of pyonephrosis has been consistent with the rarity of this condtion in Senegal.
报告肾积脓的流行病学、临床和辅助检查特征,并描述塞内加尔目前的治疗方法。
这项回顾性研究纳入了1995年至2009年间在达喀尔阿里斯蒂德·勒丹泰克医院泌尿外科因肾积脓入院的一系列患者。收集了每位患者的以下信息:年龄、性别、临床表现、诊断结果、治疗方式及预后。
共纳入44例患者,平均年龄34岁。最常见的临床表现为急性腰痛、脓毒症和肾脏肿块。诊断通常基于医学影像检查,即肾脏超声和计算机断层扫描。73.2%的病例潜在病因是尿路结石。83%的病例进行了肾切除术,其中部分病例在术前进行了肾造瘘管插管。
肾积脓诊断(医学影像)和治疗方法的发展与塞内加尔这种疾病的罕见性相一致。