Diagnostik und Therapie der Pyonephrose im Säuglings- und Kindesalter

Autor:	F J Helmig, H Fendel, K. Devens, K Schneider, B. H. Belohradsky, R. Eife
Rok vydání:	1988
Předmět:	medicine.medical_specialty Percutaneous business.industry Urinary system medicine.medical_treatment medicine.disease Nephrectomy Surgery Excretory urography medicine.anatomical_structure Nephrostomy Medicine Radiology Nuclear Medicine and imaging Pyonephrosis business Renal pelvis Pyelogram
Zdroj:	RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren. 148:572-577
ISSN:	1438-9010 1438-9029
DOI:	10.1055/s-2008-1048250
Popis:	A diagnostic schedule in pyonephrosis was followed in thirteen infants and children. Obstruction of the urinary tract could be demonstrated in 12 patients, non-obstructive pyonephrosis was present in one case. Congenital obstructive malformation of the urinary tract was found in 7 patients, obstruction was acquired in 5. Sonographically, pyonephrosis could be diagnosed in 8 patients (64.3%). Excretory urography (10/13) was helpful in no actual case. Sonographical-guided percutaneous nephrostomies were performed in 5 patients and operative nephrostomies in 4. Emergency-nephrectomies were done in 4 patients. A tap of the renal pelvis is the best way for early diagnosis whenever pyonephrosis is clinically suspected.
Databáze:	OpenAIRE
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