Abstract: Objective Emphysema pyelonephritis （EPN） is a severe acute necrotizing renal parenchymal and perirenal infection that was characterized by the production of gas, with a high mortality rate. There is no guideline to provide a reference for treatment standard. Our treatment plan of DJ stenting combined with antibiotic treatment were used to treat the class 1-2 EPN and results could provide clinical evidence for therapeutic method. Methods The clinical data of 4 cases of class 1-2 EPN in our hospital and the latest relevant literatures were retrospectively analyzed and the clinical efficacy of the scheme was comprehensively analyzed. Results Four patients were cured by drainage of DJ stenting combined with antibiotic treatment. Conclusion Drainage of DJ stenting combined with antibiotic treatment of class 1-2 EPN was safe and effective.

Key words: emphysema pyelonephrtis, DJ stenting

摘要： 目的 急性气肿性肾盂肾炎（EPN）是一种严重的急性坏死性肾实质及肾周感染伴气体的形成的疾病,死亡率较高。目前尚无指南对其治疗方案提供参考,本文旨在通过评价经尿道留置DJ管引流联合抗生素治疗方案处理1~2级气肿性肾盂肾炎的疗效,为临床提供诊疗依据。方法 回顾性分析我院治疗的4例1~2级EPN临床资料,并复习最新相关文献,综合分析方案的临床疗效。结果 4例1~2级EPN患者经尿道留置DJ管引流联合抗生素治疗后均治愈。结论 经尿道留置DJ管引流联合抗生素治疗1~2级EPN是安全有效的。

关键词: DJ管置入, 气肿性肾盂肾炎