45例肾结核临床病理分析

Clinical and pathologic analysis of 45 cases of renal tuberculosis

目的探讨肾结核的临床和病理特征及其有效治疗方法。方法回顾性分析45例肾结核患者的临床及病理资料。结果肾结核病例仍较多见,病理变化多样,早期诊断困难,单纯药物治疗可治愈者约19%,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、B超、静脉肾盂造影和术前病理学诊断为主要诊断方法,诊断性治疗仍是确诊的重要依据。

Objective:To discuss the clinical and pathologic characteristics and effective treatment of renal tuberculosis.Methods:Retrospective analysis of the clinical data and pathologic finding of 45 cases of renal tuberculosis was made.Results:Pathologic finding was various and early diagnosis was difficult.Nineteen percent of the patients were cured by pharmacotherapy,but this disease was still treated mainly by nephrectomy.Conclusion:The incidence rate of atypical renal tuberculosis is still high.The main diagnostic methods are urinary routine,B-ultrasound,IVU and pathologic finding before operation.Diagnostic treatment is important basis for confirmed diagnosis.