[Efficacy of application of conservative-anticipating tactics in the treatment of renal abscess].
Conservative management of patients with renal abscess is indicated in destructive phase of inflammation. Doing that the ultrasonographic investigation constitutes harmless, accessible, informative method of the disease course control. Ultrasonographic data permit to follow up the affection dynamics and to estimate the antibacterial therapy efficacy. The combined application of ultrasonography, computed tomography and the puncture biopsy have permitted to establish the renal abscess diagnosis in all observations. In purulent melting of the inflammation nidus the treatment ought to be combined with transcutaneous drainage. If the renal abscess diameter do not exceed 4 cm, it is enough to perform aspiration of the content for once. In diameter of the inflammation nidus more than 4 cm, it is expedient to install a constant drain into the abscess cavity up to the time when the content excretion would stop. Inefficacy of transcutaneous drainage of the renal abscess constitutes indication for surgical treatment.
Sarychev
L P
LP
Parkhomchuk
P A
PA
Stavnychyĭ
S O
SO
Sarychev
Ia V
IaV
D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001706:Biopsy; D005260:Female; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009393:Nephritis / Q000000981:diagnostic imaging / Q000188:drug therapy*; D014463:Ultrasonography
D000900:Anti-Bacterial Agents
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