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目的探讨肾包膜下积液的成因和治疗方法。方法回顾性分析2002年3月～2010年7月收治的25例肾包膜下积液的临床资料。其中闭合性肾损伤6例,上尿路急性梗阻所致4例,肾实质感染所致5例,继发于经输尿管镜碎石术(URL)及体外冲击波碎石术(ESWL)各2例,自发性5例。所有患者均经B超、CT检查明确诊断。25例肾包膜下积液根据不同的病因进行治疗。结果 22例肾包膜下积液消失,3例明显减少。随访15个月～9年,无积液复发。结论肾包膜下积液病因复杂,治疗应采取个体化方案,重点在于积极处理原发疾病。
Objective To investigate the causes of renal subcapsular effusion and treatment. Methods The clinical data of 25 cases of subrenal fluid from March 2002 to July 2010 were retrospectively analyzed. Among them, 6 were closed renal injury, 4 due to upper urinary tract obstruction, 5 due to renal parenchymal infection, and 2 were secondary to ureteroscopic lithotripsy (URL) and extracorporeal shock wave lithotripsy (ESWL) , Spontaneous in 5 cases. All patients were diagnosed by B ultrasound, CT examination. 25 cases of subrenal fluid according to different causes of treatment. Results 22 cases of subrenal fluid disappeared, 3 cases decreased significantly. Follow-up 15 months to 9 years, no recurrence of effusion. Conclusions The cause of subrenal fluid effusion is complex and the individualized regimen should be adopted for treatment. The emphasis is on active management of the primary disease.