【摘要】 目的分析肾结核的临床特征,提高晚期肾结核的诊断和治疗水平。方法回顾性分析39例肾结核晚期患者的临床资料。结果腰痛20例,尿路刺激症状12例;尿聚合酶链反应结核菌检查(PCR-TB-DNA)阳性率28.9%;肾CT扫描诊断阳性率70.3%。全部患者手术治疗,18例加行患侧输尿管全长切除术。结论晚期肾结核临床表现上出现一些新特点。联合应用尿PCR-TB-DNA+IVU+CT检查,能有效的确诊肾结核。晚期结核肾的治疗以手术为主,应切除患肾和尽可能长的患侧输尿管。更多还原

【Abstract】 Objective To investigate the new clinical characteristics and treatment of renal tuberculosis(TB).To improve the diagnosis of renal TB at late stage.Methods A retrospective study was made on 39 cases of renal TB at late stage.Results lumbodynia and hematuria were more common than irritative symptoms nowadays.The positive result of acid-fast-stains(AFB),urinary TB-PCR were 5.3%,28.9%.The diagnostic accuracy of IVU and CT was 28.2%,70.3%,respectively.Operations were performed for all 39 cases.Conclusions There are some new characteristics of the clinical diagnosis of renal TB.Urine AFB and TB-PCR-DNA were not the primary diagnostic methods.Combined use of different means of diagnostic technique that would help to assess the diagnosis of renal TB,especially those cases at late stage.When the non-functioning kidney is excised,the involved ureter should be concomitantly excised as much as possible.更多还原