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[急性局灶性细菌性肾炎:7例报告]

[Acute focal bacterial nephritis: report of 7 cases].

作者信息

Qin J Y

机构信息

Affiliated Hospital, Zhenjiang Medical College.

出版信息

Zhonghua Wai Ke Za Zhi. 1990 Jul;28(7):405-6, 445.

PMID:2269044
Abstract

Acute focal bacterial nephritis (AFBN) is an inflammatory disease. However, The patients with AFBN were frequently misdiagnosed as renal tumors due to the imaging examination (X-ray, IVP and B ultrasound, etc) showed presenting a solid mass in the kidney. In this article, 7 cases of AFBN were reported. There were 5 males and 2 females and the mean age was 22.7 years (15-35). In the first two cases, nephrectomy was carried out due to misdiagnosis and the later five cases were all cured with antibiotics. The author considers that the diagnosis of AFBN should be relied mainly on clinical symptoms and should not be based only on imaging examination. The dynamic imaging examination, especially before and after the treatment of antibiotics, is important for the diagnosis of the diseases. According pathologic procedure and imaging figure of the disease, from the point of view of surgery, the author recommends "Renal Inflammatory Pseudotumor" as the term of the disease.

摘要

急性局灶性细菌性肾炎(AFBN)是一种炎症性疾病。然而,由于影像学检查(X线、静脉肾盂造影和B超等)显示肾脏内有实性肿块,AFBN患者常被误诊为肾肿瘤。本文报道了7例AFBN。其中男性5例,女性2例,平均年龄22.7岁(15 - 35岁)。前两例因误诊而行肾切除术,后5例均经抗生素治愈。作者认为,AFBN的诊断应主要依靠临床症状,而不应仅基于影像学检查。动态影像学检查,尤其是抗生素治疗前后的检查,对该病的诊断很重要。根据该病的病理过程和影像学表现,从外科角度出发,作者建议将“肾炎性假瘤”作为该病的名称。

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