肾结核临床诊治分析(附42例报告)

Oharacteristics on diagnosis and treatment of renal tuberculosis (a report of 42 cases)

目的探讨临床肾结核的早期诊断和治疗。方法回顾42例经病原学或病理学证实的肾结核的临床资料。结果8例单纯应用抗结核药物治疗痊愈,34例手术后病理证实为肾结核。结论近期肾结核不典型病例数量显著增加,应重视CT在早期肾结核诊断中的作用。无功能结核肾切除同时应尽可能切除肾周脂肪组织和患侧输尿管。

Objective To study early diagnosis and treatment of renal tuberculosis（RT）. Methods Forty - two patients with RT were retrospectively reviewed clinical data. Results All of the 8 cases who received medication recovered completely. 34 cases undergoing surgery were pathologically diagnosed to have renal tuberculosis. Conclusion A typical renal tuberculosis obviously increased recently. Computed tomography（CT） can be used for early diagnosis of RT. When the non - functioning kidney is resected,perinephrit fat and the involved ureter should be concomitantly resected as much as possible.