肾结核的诊断与治疗(附78例报告)  

Diagnosis and Treatment of Renal Tuberculosis(Report of 78 Cases)

作　　者：江长琴[1] 梁朝朝[1] 叶元平[1] 刘明[1] 张贤生[1] 郝宗耀[1] 周骏[1] 樊松[1] 古源[1] 

机构地区：[1]安徽医科大学第一附属医院泌尿外科,合肥230000

出　　处：《临床泌尿外科杂志》2010年第9期666-667,共2页Journal of Clinical Urology

摘　　要：目的:提高肾结核的诊断和治疗水平。方法:回顾性分析78例肾结核患者的临床资料,探讨肾结核的临床演变特点和诊治趋势。78例肾结核患者中,不典型肾结核28例。其中24例药物治疗,54例手术治疗。结果:24例药物治疗者均治愈;54例手术治疗者术后随访l～2年均治愈。结论:肾结核的诊断主要依靠临床表现、实验室检验和影像学检查。其治疗应根据患者病情和肾脏破坏情况给予个体化治疗,包括适当的化学药物治疗、外科手术以及密切随访。Objective：To improve the diagnosis and treatment of renal tuberculosis（TB）. Methods：Retrospective analysis of the clinical of 78 cases of renal tuberculosis, explore the clinical evolution characteristics of renal tuberculosis diagnosis and trend . Among the 78 case , atypical renal tuberculosis was 28, 24 patients were treated with an associated medicine, 54 received surgery. Results： 24 cases of medical treatment were cured, 54 cases of after surgery were followed up for 1-2 years. Conclusions：The diagnosis of renal tuberculosis mainly relies on the clinical manifestations and laboratory test and imaging studies. The treatment of renal, tuberculosis should be based on the condition of patients and the situation of the damage of kidney. All the patients should be treated individualy , including appropriate chemotherapy, surgery and close follow-up.

关 键 词：肾结核 诊断 治疗 

分 类 号：R527.1[医药卫生—内科学]