[气肿性肾盂肾炎：保守治疗成功病例]

[Emphysematous pyelonephritis: case of successful conservative treatment].

作者信息

Protoshchak V V, Sivakov A A, Babkin P A, Karandashov V K, Gorbynov A E, Lazutkin M V, Alentyev S A

机构信息

Department and Clinic of Urology of FGBVOU VO S. M. Kirov Military Medical Academy of the Ministry of Defense of Russian Federation, Saint Petersburg, Russia.

Department and Clinic of General Surgery of FGBVOU VO S. M. Kirov Military Medical Academy of the Ministry of Defense of Russian Federation, Saint Petersburg, Russia.

出版信息

Urologiia. 2020 Dec(6):118-121.

PMID:33377689

Abstract

Emphysematous pyelonephritis is rare form of pyelonephritis, which has mortality of nearly 80%. Conservative treatment can be successful in less than 30% of cases. Currently, in the guidelines there is no standard approach to conservative and surgical treatment of this entity. The clinical observation of successful conservative treatment of a patient with emphysematous pyelonephritis, associated with decompensated diabetes mellitus, from the diagnosis to recovery without performing nephrectomy in order to preserve kidney function, is described in the article.

摘要

气肿性肾盂肾炎是肾盂肾炎的一种罕见形式，其死亡率近80%。保守治疗在不到30%的病例中可取得成功。目前，在相关指南中，对于该疾病的保守治疗和手术治疗尚无标准方法。本文描述了一例气肿性肾盂肾炎合并失代偿性糖尿病患者，从诊断到康复未行肾切除术以保留肾功能的成功保守治疗的临床观察。