45例肾结核临床病理分析  

Clinical and pathologic analysis of 45 cases of renal tuberculosis

作　　者：石莺[1] 黄建军[2] 

机构地区：[1]吉首大学医学院病理学教研室,湖南吉首416000 [2]吉首大学医学院临床医学系,湖南吉首416000

出　　处：《现代医药卫生》2005年第2期133-135,共3页Journal of Modern Medicine & Health

摘　　要：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.

关 键 词：不典型肾结核 临床病理分析 尿常规 诊断性治疗 病理资料 有效治疗 治愈者 结论 方法 困难 

分 类 号：R527[医药卫生—内科学] R737[医药卫生—临床医学]