前言目的探讨介入性超声在肾结核并发脓肿及肾周脓肿中的诊断和治疗价值。方法本组病例共36例。临床诊断肾周脓肿22例,肾结核并发脓肿14例,均在彩超引导下穿刺,部分患者置入引流管定期反复冲洗,抽取液送病检、生化、培养及药敏。结果14例临床诊断肾结核并发脓肿者均行穿刺抽脓。其中12例临床诊断肾结核并发脓肿者与病检及培养、生化诊断相符,其诊断符合率达85％,另2例经病检及培养后,诊断为非特异性感染性肾脓肿。22例肾周脓肿中12例行穿刺抽脓冲洗,1倒置管引流,穿刺成功率达100％。结论介入性超声在肾结核并发脓肿及肾周脓肿的诊断和治疗中具有重要的临床应用价值。
ObjectiveToassessthediagnosingandtreatingvalueofinterventionalultrasoundinrenaltuberculosiscomplicatedwithnephrapostasisandperinephricabscess,complicatedwithnephrapostasisandperinephricabscess.MethodsTherewere36casesinthisgroupclinicallydiagnosedasperinephricabscess22casesandrenaltuberculosis14cases.AllofthemwerepuncturedundertheguidanceofcolorDopplerflowimaging.Someofperinephricabscesscaseswereputindrainageftubeswhichcanbelavedregular...
