肾结核120例临床分析

目的：探讨肾结核的临床特征及有效治疗方法。方法：回顾性分析120例肾结核患者的临床资料。结果：近十年来肾结核病例仍较多见，早期诊断困难，单纯药物治疗可治愈者约20％，手术切除仍是主要治疗方法。结论：不典型肾结核的发病率仍较高，尿常规、尿结核菌聚合酶键反应及尿沉渣检查抗酸杆菌为主要诊断方法，静脉肾孟造影、螺旋CT检查、诊断性治疗仍是确诊的重要依据。

Clinical Analysis of 120 Cases of Renal Tuberculosis

Objective: To discuss the clinical characteristics and effective treatment of renal tuberculosis.Methods: Retrospective analysis of the clinical data of 120 cases of renal tubercalosis was made.Results: Early diagnosis was difficult.Conclusion: Twenty percent of the patients were cured by pharmacotherapy,but this disease is still treated mainly by nephrectomy.The incidence rate is still high.The main diagnostic methods are urinary routine,RCR-TB-DNA and acid-fast stains done on the concentrated sediment from a 24-hour specimen,IVU,screw CT and diagnostic treatment are important basis for confirmed diagnosis.