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黄色肉芽肿性肾盂肾炎(xanthogranulomatouspyelonephritis)是一种少见的特殊类型的慢性细菌性肾盂肾炎,其特征是肾实质破坏,出现肉芽肿、脓肿因此而得名。由于其临床表现、影像学表现等均缺乏特征性,因此术前误诊率较高,常需术后组织病理切片确诊。本文从黄色肉芽肿性肾盂肾炎的流行病学、病因、发病机制、病理学特征、临床表现、影像学特点和治疗等方面的研究进展综述如下。
Yellow granulomatous pyelonephritis (xanthogranulomatous pyelonephritis) is a rare and unusual type of chronic bacterial pyelonephritis characterized by destruction of the renal parenchyma with granuloma and hence the name abscess. Because of its clinical manifestations, imaging features are characterized by lack of characteristics, so a high preoperative misdiagnosis rate, often postoperative histopathological diagnosis. This article from the epidemiology of yellow granulomatous pyelonephritis, etiology, pathogenesis, pathological features, clinical manifestations, imaging features and treatment of research progress are summarized below.