【摘要】 目的:总结分析肾结核的临床表现及诊治方法。方法:回顾性分析97例肾结核病例的临床资料。结果:膀胱刺激征、血尿和腰痛是最常见的症状。尿AFB和Tb-PCR检查阳性率分别为42.2%和71.1%。B超、IVU和CT的诊断阳性率分别为23.1%、71.1%和84.8%,本组中37例患者行药物治疗(异烟肼+利福平+吡嗪酰胺三联治疗,疗程9～12月),其中32例痊愈,65例行患肾及输尿管切除术。结论:尿AFB和Tb-PCR检查可使临床不典型肾结核诊断阳性率得到很大程度提高,IVU是肾结核诊断的首选影像学检查,CT对可疑病例的诊断具有辅助价值。无功能结核肾行肾切除术时应尽可能切除患侧的输尿管。更多还原

【Abstract】 Objective:To study the clinical manifestations,diagnosis and treatment of renal tuberculosis(TB).Methods:A retrospective study was made in 97 cases.Results:Irritation symptoms,hematuria and lumbodynia were the most common symptoms.The positive results of urinal AFB and TB-PCR were 42.2% and 71.1% respectively.The diagnostic accuracy of B-type ultrasonography,IVU and CT were 23.1%,71.1% and 84.8% respectively.32 of 37 cases were cured with medicine(INH+RFP+PZA for 9～12 months).Nephro-ureterectomy was performed for 65 cases.Condusion:Urinal AFB and TB-PCR would help to assess the diagnosis of renal TB,especially in atypical cases.IVU is the first choice for diagnosis and CT scan is helpful.When the non-functioning kidney is resected,the involved ureter should be concomitantly resected as much as possible.更多还原