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本文介绍了51例有急性肾感染疾患的病人经超声断层检查证实26例急性细菌性局灶性肾炎、15例肾脓肿和10例肾积脓。讨论了有关在超声断层指引下经皮肾穿刺在感染性肾疾患的诊断和治疗中意义。根据超声断层检查和经皮肾穿刺所获得的资料,可以得到迅速的诊断,制定与感染相适应的抗生素的治疗,如果有必要可以在超声断层指引下经皮肾穿刺放入引流导管来辅助治疗。连续的超声断层检查可了解疾病的变化情况,避免了病人接受过多的放射线检查和静脉内注射造影剂。
This article describes the results of 51 cases of acute renal infection in patients diagnosed by ultrasonography in 26 cases of acute bacterial focal nephritis, 15 cases of renal abscess and 10 cases of pyometra. The significance of percutaneous nephrostomy guided by ultrasound in the diagnosis and treatment of infectious renal disease was discussed. According to the data obtained by ultrasonography and percutaneous nephrolithotomy, rapid diagnosis can be obtained and the treatment of antibiotics suitable for infection can be made. If necessary, it can be placed in drainage catheter under the guidance of ultrasound to guide the treatment . Continuous ultrasonography can understand the changes in the disease and prevent the patient from receiving excessive radiological exams and intravenous contrast media.