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目的 观察肾结石体外冲击波碎石术 (ESWL)后的梗阻性肾盂肾炎和肾积脓的临床表现及预后。方法 回顾性分析 78例肾结石患者ESWL后出现梗阻性肾盂肾炎、肾积脓的情况。结果 78例患者中 62例出现泌尿系感染症状 ,16例则无症状 ;经积极处理后 ,有症状组只有 1例 ( 2 % )需行肾输尿管全切除 ,明显低于无症状组的 3例 ( 19% ,P <0 0 1)。结论 肾结石ESWL后无症状性的肾盂肾炎和肾积脓危害严重 ,需引起重视。
Objective To observe the clinical manifestations and prognosis of obstructive pyelonephritis and pyonephrosis after renal stone extracorporeal shock wave lithotripsy (ESWL). Methods A retrospective analysis of obstructive pyelonephritis and pyonephrosis occurred in 78 patients with renal stone after ESWL. Results Sixty-two of 78 patients had symptoms of urinary tract infection, while 16 patients showed no symptoms. After active treatment, only 1 patient (2%) in symptomatic group required complete renal ureterrectomy, which was significantly lower than that in asymptomatic group (19%, P <0.01). Conclusion Asymptomatic pyelonephritis and pyogenic nephropathy are serious after ESWL in renal calculi, and it needs attention.