摘要
目的:提高泌尿系统结核的早期诊断和治疗水平。方法:回顾性分析27例泌康系结核患者的临床资料。结果:18例异烟肼/利福平/吡嗪酰胺三联治疗6～12个月中16例痊愈,2例改行手术后痊愈;11例手术治疗者中10例痊愈,1例死亡。结论:对原因不明反复出现泌尿系感染症状及一般抗生素疗效不佳的患者,早期应考虑泌尿系统结核的可能,综合分析病史和各种实验室和影像学检查结果,有利于早期诊断。早期肾结核三联药物治疗效果满意,肾、输尿管切除仍是肾结核主要的手术方法。
Objective：To improve the early diagnostic technique and therapeutic efficacy for urinary tuberculosis. Methods： The clinical data of 27 Patients with urinary tuberculosis were analyzed retrospectively. Results： 16 of the 18 cases have been cured on medicine （ INH＋ RFP ＋ PZA for 6~12 months ）,2 of them cured after operation. 10 of the 11 cases have been cured on operation, 1 of them died. Conclusions：It is advised that patients with reduplicated infection of urinary system and no curative effect by normal antibiotic should be investigated for tuberculosis.It is necessary to combine the history, symptoms and auxiliary examinations for early diagnosis of urinary tuberculosis. INH, REP and PZA used combined have satisfactory outcome for early cases. Nephro-ureterectomy is a major method for renal tuberculosis.
出处
《岭南急诊医学杂志》
2010年第3期199-200,共2页
Lingnan Journal of Emergency Medicine
关键词
泌尿系统结核
诊断
治疗
urinary tuberculosis
diagnosis
therapy
