论文部分内容阅读
目的:探讨肾包膜下积液的病因及诊治。方法:11例肾包膜下积液患者中10例在B超引导下行穿刺置管引流术,1例伴有肾结核行患肾切除术。结果:11例均治愈,术后随访2～15个月,平均10个月,4例有血压升高表现,术后1～4周血压逐渐降至正常。结论:B超、IVP、CT等影像学检查有助于确定肾包膜下积液范围及作出病因诊断,肾包膜下穿刺引流为首要的治疗方法,早期诊断治疗可避免肾实质损害。
Objective: To investigate the etiology and diagnosis and treatment of renal subcapsular effusion. Methods: Of the 11 patients with subrenal effusion, 10 underwent B-guided catheterization and drainage, and 1 underwent nephrectomy with renal tuberculosis. Results: All the 11 cases were cured. The patients were followed up for 2 to 15 months with an average of 10 months. Four patients had elevated blood pressure. The blood pressure decreased to normal one to four weeks after operation. Conclusion: B-ultrasound, IVP, CT and other imaging studies can help to determine the scope of renal sub-capsular effusion and diagnosis of etiology, puncture and drainage under the renal capsule as the primary treatment, early diagnosis and treatment can avoid renal parenchymal damage.