肾结核326例临床分析

目的 探讨肾结核的早期诊断和治疗.方法 回顾分析326例肾结核患者的临床资料.结果 尿频、尿急、尿痛、腰痛和血尿是最常见的症状,分别为51.8%、37.2%、33.4%、41.0%和48.1%.IVP、B超、CT、膀胱黏膜活检和MRU诊断符合率分别为69.1%、46.6%、89.8%、44.4%和85.6%.96例抗结...

Clinical analysis of renal tuberculosis on 326 cases

Objectives To summarize diagnostic and therapeutic experience of renal tuberculosis at early stage. Methods Retrospective analysis on clinical data of 326 cases of renal tuberculosis. Results Frequency, urgency, odynuria,lumbodynia, bematuria were the most common symptoms,and their rates were 51. 8% ,37.2% ,33.4% ,41.0% ,and 48. 1 % respectively. The accuracy of diagnosis in IVP , B- ultrasonography, CT, cystoscopy + mucous membrane biopsy of urinary bladder,and MRU were :69. 1% ,46.6% ,89.8%, 44.4%, and 85.6% respectively. 96 patients underwent antituberculosis drugs( INH + REP + EMB or PIA ) for 6 ～ 8 months. 38 patients( 39.4% ) were cured, while 43 patients(44.7% ) were improved. 245 patients underwent operation, including 210 patients who underwent nephrectomize(64.4% ) ,and cure rate was 100% ;21 patients underwent nephrectomize combined with metanephric duct reimplant, and 15 patients(71.0% ) were cured;9 patients with contractural bladder underwent augmentation of bladder with colon sigmoideum,and 8 patients(88% ) were cured. Conclusions Uronoscopy,IVP, cystoscopy + mucous membrane biopsy of urinary bladder is important in the diagnosis of renal tuberculosis at early stage. B - ultrasonography, CT,and MRU have the crucial value in the diagnosis of advanced renal tuberculosis. Trigminal treatment( INH + REP + EMB or PIA) is satisfactory to the patients with renal tuberculosis at early stage.