Androulakakis P A
Br J Urol. 1982 Apr;54(2):89-92. doi: 10.1111/j.1464-410x.1982.tb13524.x.
One hundred and thirty-one patients operated on for pyonephrosis within a 4-year period are reviewed. Male to female ratio was 1:2 and urolithiasis was the most common aetiological factor (70.2%). Primary nephrectomy proved to be a very satisfactory mode of treatment. Preliminary nephrostomy no longer appears necessary other than in exceptional circumstances. In a selected group of patients with pyonephrosis following acute obstruction of the kidney by a stone, successful management was achieved by prompt relief of the obstruction.
回顾了在4年期间接受肾积脓手术的131例患者。男女比例为1:2,尿路结石是最常见的病因(70.2%)。事实证明,一期肾切除术是一种非常令人满意的治疗方式。除特殊情况外,初步肾造瘘术似乎不再必要。在一组因结石导致肾脏急性梗阻后发生肾积脓的特定患者中,通过迅速解除梗阻获得了成功治疗。