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对黄色肉芽肿性肾盂肾炎放射学诊断的贡献(作者译)

[A contribution to radiological diagnostics of xanthogranulomatous pyelonephritis (author's transl)].

作者信息

Kelemen J

出版信息

Rontgenblatter. 1978 Aug;31(8):439-46.

PMID:99801
Abstract

Pyelonephritis xanthogranulomatosa is a peculiar manifestation of destructive interstitial nephritis which can be differentiated from other types of pyonephrosis exclusively by microscopic examination. Clinical symptomatology often points towards the existence of a renal tumor. The author analyses the clinical and radiological symptomatology of seven patients treated by him. The angiographic picture presented by pyelonephritis xanthogranulomatosa differs according to the character and extension of the inflammatory tissue lesion. The angiographic picture of the circumscribed and diffuse granular proliferative types resembles that of a poorly vascularised malignoma, whereas the destructive type resembles hydropyonephrosis.

摘要

黄色肉芽肿性肾盂肾炎是一种破坏性间质性肾炎的特殊表现,只能通过显微镜检查与其他类型的脓性肾盂积水相鉴别。临床症状往往提示存在肾肿瘤。作者分析了他所治疗的7例患者的临床和放射学症状。黄色肉芽肿性肾盂肾炎呈现的血管造影图像根据炎症组织病变的性质和范围而有所不同。局限性和弥漫性颗粒增生型的血管造影图像类似于血管化不良的恶性肿瘤,而破坏型则类似于脓性肾盂积水。

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