摘要
目的提高泌尿系结核的诊断水平。方法回顾性分析62例泌尿系结核患者的临床资料,总结其诊断经验。结果泌尿系结核最常见的症状和检查异常为膀胱刺激征、血尿、尿常规异常、血沉增高。尿PCR-TBDNA、静脉肾盂造影、膀胱镜检逆行造影、CT等检查,在泌尿系结核感染病例中有较高的阳性率。尿沉渣找抗酸杆菌阳性率较低,B超检查对泌尿系结核感染诊断的特异性较低。结论泌尿系结核的临床诊断应综合分析临床表现、尿液和血液检查、影像学检查、病原学检查等多方面资料,才能更好的做出判断。
Objective To improve the diagnostic accuracy of urinary tuberculosis （TB）. Methods To analyse the clinical data of 62 cases of urinary TB retrospectively and summarize the the clinical diagnostic experiences. Result The most symptoms in these patients were irritafive symptoms,gross hematuria,abnormal urine and high ESR. Urine PCR-TBDNA, IVU, retrogade urography and CT were highly positive in these patients. Positiveness of acid-fast stains of urinary sedhnent and specificity of B-ultraeonography were low. Conclusion The patient history, urine analysis, blood analysis, the image evaluation and pathogen detection should be combined to improve the clinical diagnosis for urinary TB.
出处
《广西医学》
CAS
2006年第9期1366-1368,共3页
Guangxi Medical Journal
关键词
泌尿系结核
诊断
Urogenital tuberculosis
Diagnosis
