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[儿童及成人黄色肉芽肿性肾盂肾炎]

[Xanthogranulomatous pyelonephritis in children and adults].

作者信息

Swoboda P M, Schrott K M

出版信息

Urologe A. 1985 Jan;24(1):20-4.

PMID:3920801
Abstract

This report gives a review of the few known collections of cases in the world literature. There is an incidence of 6% and 25% in CPN and pyonephrosis respectively. Morphologic sign of XGP is a high degree of destruction of parenchyma and replacement by characteristic granuloma. The function of these kidneys is always markedly and irreversibly damaged. Comprehensive description of special pathologic anatomy, pathogenesis, diagnostics, and operative indication. We show two typical cases in adults, setting an example, and report about five own cases in children, after examining all nephrectomy specimens from 1968 to 1983. We present the age distribution in all reported cases in children and suggest a morphologic and topographic staging classification of XGP.

摘要

本报告对世界文献中为数不多的已知病例集进行了综述。慢性肾盂肾炎(CPN)和肾积脓的发病率分别为6%和25%。黄色肉芽肿性肾盂肾炎(XGP)的形态学特征是实质高度破坏并被特征性肉芽肿取代。这些肾脏的功能总是受到明显且不可逆的损害。对特殊病理解剖、发病机制、诊断及手术指征进行了全面描述。我们展示了两例典型的成人病例作为范例,并报告了1968年至1983年期间检查的所有肾切除标本中的五例儿童自身病例。我们呈现了所有报告的儿童病例的年龄分布情况,并提出了XGP的形态学和局部解剖学分期分类。

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