摘要
目的探讨肾结核的早期诊断和治疗。方法回顾性分析82例肾结核患者的临床资料。结果18例单纯抗结核药物治疗痊愈,64例术后病理证实为肾结核,发生输尿管残端综合征2例。结论尿PCR-TB-DNA检查是术前确诊肾结核的主要手段,同时应重视CT和MRU在肾结核诊断中的作用。无功能结核肾切除时应尽可能切除肾周脂肪组织和患侧全部输尿管。
Objective To investigate the clinical characteristics on diagnosis and treatment of renal tuberculosis, Methods Clinical data of 82 patients with renal tuberculosis were retrospectively reviewed. Results All of the 18 cases who received medication recovered completely. 63, cases undergoing surgery were pathologically diagnosed to have renal tuberculosis,of which 2 cases developed ureteral stump syndrome, Conclusion Urine PCR-TB-DNA remained the primary diagnostic method before operation. Computed tomography（CT） and magnetic resonance urography（MRU） could be used in diagnosis of renal tuberculosis. When the non-functioning kidney was resected, perinephrit fat and the involved ureter should be concomitantly resected as much as possible.
出处
《中国基层医药》
CAS
2007年第10期1630-1631,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
结核
肾
Tuberculosis
Renal
