摘要
目的探讨提高肾结核的诊断水平。方法回顾性分析58例肾结核的临床资料,总结诊断经验。结果最常见的主诉为尿路刺激征和血尿,分别为42%和50%;尿PCR—TBDNA阳性率为30%,IVU与CT的确诊率分别为20%、73%。药物治疗13例均治愈,手术治疗44例且术后病检均为肾结核。结论肾结核不典型病例增多,临床应综合分析,力求早期诊断。X线检查应首选IVU和CT。无功能结核肾切除同时应尽可能切除患侧输尿管。
[Objective] To improve the diagnosis of renal tuberculosis. [Method] Retro-spectively analyse the clinical data of renal tuberculosis and sum up the experience of diagnosis. [Results] The most common chief complaints are urinary irritation symptoms and hematuria (42% and 50% respectively). The positive rate of urinary PCR-TBDNA was 30%. The final diagnostic rates of IVU and CT were 20% and 73% respectively. [Conclusions] The renal tuberculosis should be analysed synthetically and diagnosed early, because atypical cases would increase. Nonfunctioning kidney as well as ureter should be resected.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2006年第24期3791-3792,共2页
China Journal of Modern Medicine
关键词
肾结核
不典型表现
诊断
治疗学
renal tuberculosis
atypical manifestation
diagnosis
treatment
