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囊性肾病是常见的肾脏疾病之一。由于B超与CT广泛应用于临床,囊性肾病的诊断率已明显提高。我院近10年来共诊断74例囊性肾病,现就临床特征分析报道如下。 1 资料与方法 1.1 一般资料 74例均系我院1988—1998年住院病例,其中男58例,女16例,男:女=3.6:1。年龄22～80岁,平均51±8.5岁,其中22～39岁18例(24.3％),40～49岁8例(10.8％),50～59岁24例(32.4％),60岁以上24例(32.4％)。 1.2 诊断 ①腰痛、尿路刺激征、高血压、蛋白尿、肾功能异常。②B超、CT或静脉肾盂造影检查肾脏有单侧或双侧囊肿者。多囊肾者同时存在肾外囊性病变。 1.3 观察项目 ①详细记录病史、临床症状、体征。②住院期间动态监测血肌酐、尿素氮、尿蛋白定量、红细胞、白细胞、脓细胞计数。③肝肾B超检查60例,肝肾CT检查8例,静脉肾盂造影2例,B超+CT检查4例。
Cystic nephropathy is one of the common kidney diseases. As B-and CT widely used in clinical diagnosis of cystic kidney disease has been significantly improved. 74 cases of cystic nephropathy were diagnosed in our hospital in the recent 10 years, and the clinical features are reported as follows. 1 Materials and Methods 1.1 General Information 74 cases were hospitalized in our hospital from 1988 to 1998, 58 were male and 16 female, male: female = 3.6: 1. The patients were 22 to 80 years old with an average of 51 ± 8.5 years old, of which 18 cases (22.3%) were from 22 to 39 years old, 8 cases (10.8%) from 40 to 49 years old, 24 cases (32.4%) from 50 to 59 years old, Example (32.4%). 1.2 diagnosis ① low back pain, urinary tract irritation, hypertension, proteinuria, renal dysfunction. ② B ultrasound, CT or intravenous pyelography kidney unilateral or bilateral cyst who. Polycystic kidney disease at the same time there are renal cystic lesions. 1.3 Observation items ① detailed history, clinical symptoms and signs. ② Dynamic monitoring during hospitalization serum creatinine, urea nitrogen, urine protein, red blood cells, white blood cells, pus counts. ③ liver and kidney B-ultrasound in 60 cases, liver and kidney CT in 8 cases, intravenous pyelography in 2 cases, B-ultrasound + CT in 4 cases.