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[黄色肉芽肿性肾盂肾炎。回顾性研究]

[Xanthogranulomatous pyelonephritis. Retrospective study].

作者信息

Paez Borda A, Silmi A, Diego A, Prieto L, Gómez J, Blázquez J, Salinas J, Páramo P, Usón A, Blanco J

机构信息

Cátedra y Servicio de Urologia, Hospital Universitario San Carlos (HUSC), Universidad Complutense, Madrid, España.

出版信息

Arch Esp Urol. 1990 Oct;43(8):843-9.

PMID:2291678
Abstract

The incidence of PGX in our setting is low (0.67%). Middle-aged women comprise most of our cases. This disease process is usually unilateral; 53.2% of the present series had right-sided renal involvement. Over the past 17 years, 135 cases of histopathologically-documented XGP have been recorded at our hospital. Sixty-three cases were studied retrospectively. Patient history, symptoms and signs, and data gleaned from physical examination are presented. Similarly, patient outstanding pathogenetic features are described. Preoperative diagnosis of XGP is difficult. The availability of high resolution imaging techniques has enhanced diagnostic accuracy. Urinary cytology permits preoperative diagnosis with an accuracy rate of 80%. The postoperative prognosis is excellent.

摘要

在我们的病例中,黄色肉芽肿性肾盂肾炎(PGX)的发病率较低(0.67%)。大多数病例为中年女性。该疾病过程通常为单侧性;本系列病例中有53.2%右侧肾脏受累。在过去17年中,我院记录了135例经组织病理学证实的黄色肉芽肿性肾盂肾炎(XGP)病例。对其中63例进行了回顾性研究。呈现了患者的病史、症状和体征,以及从体格检查中收集的数据。同样,也描述了患者突出的发病特征。黄色肉芽肿性肾盂肾炎的术前诊断困难。高分辨率成像技术的应用提高了诊断准确性。尿液细胞学检查术前诊断准确率为80%。术后预后良好。

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引用本文的文献

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Xanthogranulomatous pyelonephritis: a focus on microbiological and antibiotic resistance profiles.黄色肉芽肿性肾盂肾炎:聚焦微生物学和抗生素耐药性特征。
BMC Urol. 2021 Apr 7;21(1):56. doi: 10.1186/s12894-021-00800-z.