Jimenez J F, Lopez Pacios M A, Llamazares G, Conejero J, Sole-Balcells F
J Urol. 1978 Sep;120(3):287-9. doi: 10.1016/s0022-5347(17)57139-6.
Our study is a comparison of treatments used for 97 patients with pyonephrosis. The patients were divided into 3 groups: 1) cases in which a primary nephrectomy was done, 2) cases in which nephrectomy was secondary to drainage through a nephrostomy and 3) cases in which nephrectomy was secondary to drainage through a translumbar percutaneous puncture with an Ingram catheter indwelling. Patients in whom nephrostomy and puncture were used had the highest percentage of complications, while primary nephrectomy produced the best results. Therefore, we believe that primary nephrectomy is the procedure of choice, using drainage through a puncture only when the general status of the patient does not permit primary nephrectomy.
我们的研究对97例肾积脓患者所采用的治疗方法进行了比较。患者被分为3组：1）接受一期肾切除术的病例；2）在经肾造瘘引流后接受肾切除术的病例；3）在经英格拉姆导管留置的经腰段经皮穿刺引流后接受肾切除术的病例。采用肾造瘘和穿刺的患者并发症发生率最高，而一期肾切除术效果最佳。因此，我们认为一期肾切除术是首选术式，仅在患者一般状况不允许进行一期肾切除术时才采用穿刺引流。
