泌尿系结核16例误诊分析

目的 探讨泌尿系结核的误诊原因.方法 回顾性分析16例泌尿系结核在诊治过程中的误诊原因.16例均曾被误诊为慢性膀胱炎,其中诊断伴有肾积水、肾结石6例,多囊肾1例,附睾炎1例.结果 2例患者经手术治疗,术后病理证实肾结核.14例经药物治疗.通过尿沉渣涂片抗酸染色、PPD试验、B超、静脉尿路造影、CT及膀胱镜检查提示本病.11例患者随访6个月~4年,经手术及药物治疗后病情均未进展.结论 对存在有长期慢性膀胱炎病史的患者需进一步的病因检查,实验室检查及影像学检查具有重要的诊断价值,同时应提高对检查结果正确分析的能力.

Study on misdiagnosis analysis of urologic tuberculosis(report of 16 cases)

Objective To explore the reasons of the misdiagnosis of urologic tuberculosis.Methods The misdiagnosis of 16 patients with urologic tuberculosis were retrospectively analyzed.All the patients were misdiagnosed as chronic cystitis.6 of them companied with hydronephrosis and renal calculi,1 with multisaccate and 1 with epididymitis respectively.Results Two patients were underwent operations.The final diagnosis was confirmed by pathology results.14 other patients were treated with drugs.They were proved to be tuberculosis by urinary sediment acid fast stain,PPD test,ultrasonography,intravenous urography,CT and cystoscopy.11 patients underwent 6 montues-4 years follow-up.All of them acquired stable condition.Conclusions Further etiology examination is needed for the long-term chronic cystitis patients.Laboratory examination and imageology check could offer an important diagnostic outcome and the ability of the analysis of examination results should be improved correspondingly.