Wang X C
Second Hospital of Hengyang, Hunan.
Zhonghua Wai Ke Za Zhi. 1990 Jul;28(7):407-9, 445.
Twelve cases of xanthogranulomatous pyelonephritis (XGPN) complicated by urolithiasis in upper tract were presented in this study. Fifty-four cases of XGPN, including 12 cases of this study, reported in China were clinically analysed in the article. All cases were with one suffered kidney, 57.4% of the cases had both XGPN and urolithiasis, 27.8% had the history of urinary infections, 99.0% had function-impaired kidney or renal failure. XGPN was frequently mis-diagnosed as renal cancer, renal tuberculosis and renal abscess etc. The diagnosis and treatment of XGPN are discussed.
本研究报告了12例上尿路黄色肉芽肿性肾盂肾炎(XGPN)合并尿路结石的病例。本文对中国报道的54例XGPN病例(包括本研究中的12例)进行了临床分析。所有病例均为单侧肾脏患病,57.4%的病例同时患有XGPN和尿路结石,27.8%有泌尿系统感染史,99.0%有肾功能损害或肾衰竭。XGPN常被误诊为肾癌、肾结核和肾脓肿等。文中对XGPN的诊断和治疗进行了讨论。