结石性梗阻性脓肾的诊疗研究进展
Advances in Diagnosis and Treatment of Calculous Obstructive Pyonephrosis
DOI: 10.12677/acm.2026.1641296, PDF,    科研立项经费支持
作者: 崔茂璨, 杨轶哲, 陈 涛, 徐铭鸿, 陈 戬*：昆明医科大学第二附属医院泌尿外科，云南 昆明
关键词: 泌尿系结石；肾积脓；诊疗；Urinary Calculi； Pyonephrosis； Diagnosis and Treatment
摘要: 结石性梗阻性脓肾属于泌尿外科最为危急的重症之一，其特点是泌尿系结石造成梗阻并发肾集合系统化脓性感染，病情发展迅速，容易引发脓毒症、感染性休克以及多器官功能衰竭，严重威胁患者的生命安全。目前国内外对于结石梗阻性肾积脓的诊断和治疗尚未达成共识，结石梗阻性肾积脓的诊断和治疗方式多样，但各种诊疗方式都存在着一定的局限性。本文就结石梗阻性肾积脓的诊断及治疗做系统综述。
Abstract: Obstructive pyonephrosis caused by urolithiasis represents one of the most critical emergencies in urology. It is characterized by obstructive urinary calculi complicated by suppurative infection of the renal collecting system, with rapid disease progression that can readily lead to sepsis, septic shock, and multiple organ failure, thereby posing a severe threat to patient survival. Currently, there is no globally established consensus on the diagnosis and treatment of obstructive pyonephrosis due to calculi. Although diverse diagnostic and therapeutic approaches are available, each modality carries certain limitations. This article provides a systematic review of the current strategies for diagnosing and managing obstructive pyonephrosis secondary to urolithiasis.
文章引用：崔茂璨, 杨轶哲, 陈涛, 徐铭鸿, 陈戬. 结石性梗阻性脓肾的诊疗研究进展[J]. 临床医学进展, 2026, 16(4): 692-697. https://doi.org/10.12677/acm.2026.1641296

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