报告45例脓肾的诊治体会。认为经皮肾穿刺检查是唯一可靠、安全和快速的确诊手段。具体治疗方法应根据患肾功能和梗阻原因而定:①肾脏已严重破坏、功能丧失者应早期切除病肾;②肾功能尚可、病因易于处理者应及早手术解除梗阻引流肾盂;③梗阻病因复杂不易处理或病人全身情况差者应先做经皮肾穿刺造瘘引流,待情况改善后再做相应手术。 Report 45 cases of pus kidney diagnosis and treatment experience. Percutaneous renal biopsy is considered the only reliable, safe and rapid means of diagnosis. Specific treatment methods should be based on the reasons for kidney function and obstruction: ① the kidneys have been severely damaged, the loss of function should be early removal of diseased kidney; ② renal function is acceptable, the cause is easy to handle should be lifted as soon as possible obstruction drainage renal pelvis; Difficult to handle complex or poor patient status should be done percutaneous nephrostomy drainage, to be done before the situation to improve the corresponding surgery.