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为提高黄色肉芽肿性肾盂肾炎(XGP)的诊治水平,分析了11例XGP的临床资料,结果术前均误诊,术后经病理检查确诊,切除病肾后恢复良好。并就其临床表现、诊断及治疗等问题进行了讨论,认为XGP的诊断应结合病史、症状体征及辅助检查资料进行综合分析,若尿中找到泡沫细胞,XGP诊断可成立;若未找到泡沫细胞,可在超声指引下作细针穿刺活俭以明确诊断;治疗仍以肾切除为主。
To improve the diagnosis and treatment of yellow granulomatous pyelonephritis (XGP), the clinical data of 11 cases of XGP were analyzed. The results were preoperatively misdiagnosed, confirmed by pathological examination postoperatively, and recovered well after excision of pathological kidney. And the clinical manifestations, diagnosis and treatment of such issues were discussed, that the diagnosis of XGP should be combined with history, symptoms and signs and auxiliary examination data for a comprehensive analysis, if found in the urine of foam cells, XGP diagnosis can be established; if no foam cells , Under the guidance of ultrasound for fine needle puncture thrifty to confirm the diagnosis; treatment is still based on nephrectomy.