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目的:探讨脓肾的保肾治疗。方法: 手术解除导致脓肾的输尿管梗阻,放置输尿管支架管及肾造瘘管,将健侧肾排泌的尿液,经“膀胱→输尿管支架管→患侧肾盂→肾造瘘管”转流至体外,达到对患肾冲洗和引流的目的。结果: 26例脓肾肾功能恢复或部分恢复。结论:自体尿转流术治疗脓肾可保留患肾。
Objective: To explore the treatment of pus kidney. Methods: Ureteral obstruction caused by surgical removal of pus kidney, placed ureteral stent and renal fistula, the contralateral kidney excretion of urine, the “bladder → ureteral stent → ipsilateral renal pelvis → nephrostomy tube” to the outside , To reach the purpose of rinsing and drainage of kidney. Results: 26 cases of pus kidney function recovery or partial recovery. Conclusion: Autologous urinary diversion for the treatment of pus kidney may retain the kidney.