Nataluk E A, McCullough D L, Scharling E O
Department of Urology, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina.
Urology. 1995 Mar;45(3):377-80. doi: 10.1016/S0090-4295(99)80004-1.
To review 12 patients with a clinicopathogenic diagnosis of xanthogranulomatous pyelonephritis (XGP) and to determine if a computed tomography (CT) scan is the imaging procedure of choice for diagnosis.
A retrospective review, over the last 12 years, of patients with XGP at our institution.
Nine of 10 patients (90%) who were evaluated by CT scan had the correct diagnosis made prior to nephrectomy. The most common presenting symptoms and signs were flank pain (64%), leukocytosis (73%), and anemia (82%). Seventy-five percent of the patients had a ureteropelvic junction stone or a staghorn stone in the affected kidney at the time of clinical presentation. Proteus was the most common organism cultured.
After reviewing the clinical features of these 12 patients, we recommended CT scan to evaluate the patient in whom clinical suspicion of XGP is entertained. CT has proven to be the most accurate imaging study to evaluate this disease.
回顾12例经临床病理诊断为黄色肉芽肿性肾盂肾炎（XGP）的患者，并确定计算机断层扫描（CT）是否为诊断的首选影像学检查方法。
对本机构过去12年中患有XGP的患者进行回顾性研究。
10例接受CT扫描评估的患者中有9例（90%）在肾切除术前得到了正确诊断。最常见的症状和体征为胁腹痛（64%）、白细胞增多（73%）和贫血（82%）。75%的患者在临床表现时患侧肾脏有输尿管肾盂连接部结石或鹿角形结石。变形杆菌是最常培养出的微生物。
在回顾这12例患者的临床特征后，我们建议对临床怀疑患有XGP的患者进行CT扫描评估。CT已被证明是评估该疾病最准确的影像学检查。
