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肾切除手术目前在许多基层医院已普遍开展,但如何改进肾脏疾病的早期诊断、早期治疗,以保护肾脏功能、减少肾切除率,仍是一个值得重视的问题。分析我院近几年来所做的190例肾切除术,因误诊或由于手术处理不妥而导致肾切除者88例(占46.3%)。对这部分病例如果能够做到早期诊断、早期治疗,在很大程度上可以使部分肾脏的功能得到保存,免于手术切除。本文对此88例进行分析,以便从中吸取教训。本组190例肾切除原因,属于误诊者肾结核占67例(54.4%),上尿路结石14例(45.1%),肾积水4例(44.6%),加上3例手术处理不当,共88例,占肾切除总例数46.3%。错误原因分析一、肾结核:肾结核是目前肾切除的主要原因,其误诊率也最高,123例中出现症状1年以上,多次就医未能确诊者属于误诊共67例。
Nephrectomy is currently practiced in many primary hospitals. However, how to improve the early diagnosis and early treatment of renal diseases to protect renal function and reduce the rate of nephrectomy remains a problem that deserves attention. Analysis of our hospital in recent years, 190 cases of nephrectomy, due to misdiagnosis or due to improper surgical treatment resulted in 88 cases of nephrectomy (46.3%). In this part of the case if you can do early diagnosis, early treatment, to a large extent, can make part of the kidney function is saved, from surgery. In this paper, 88 cases were analyzed in order to learn from them. The group of 190 cases of nephrectomy reasons are misdiagnosed renal tuberculosis in 67 cases (54.4%), upper urinary tract stones in 14 cases (45.1%), hydronephrosis in 4 cases (44.6%), combined with 3 cases of surgical treatment, A total of 88 cases, accounting for 46.3% of the total number of cases of nephrectomy. Analysis of the reasons for a mistake, renal tuberculosis: renal tuberculosis is the main reason for the current nephrectomy, the highest misdiagnosis rate of 123 cases of symptoms more than 1 year, multiple medical failure to diagnose belong to misdiagnosed a total of 67 cases.