肾结核的术前诊断  

Diagnosis of renal tuberculosis before operation

作　　者：杨绍波[1] 孔垂泽[1] 熊思清[1] 毕健斌[1] 李军[1] 姜元军[1] 刘涛[1] 

机构地区：[1]沈阳中国医科大学附属第一医院泌尿外科,辽宁110001

出　　处：《国际泌尿系统杂志》2011年第5期571-573,共3页International Journal of Urology and Nephrology

摘　　要：目的提高肾结核的术前诊断率。方法回顾性分析180例手术治疗的肾结核患者的临床资料。结果膀胱刺激征、血尿和腰痛是最常见的临床症状，无症状的肾结核所占比例为6．1％。尿查抗酸杆菌阳性率为12．4％。IVP、B超、CT、CTU的诊断阳性率分别为23．5％、75％、85．6％、95．3％。误诊肾结石6例，误诊肾积水4例。该组病人均行患侧肾及大部分输尿管切除。结论注意肾结核和肾积水及肾结石的鉴别，重视B超在肾结核诊断中的作用，CTU在肾结核的诊断中价值最大。终合分析临床资料是提高肾结核术前诊断的关键。Objectives To improve the diagnosis accuracy for renal tuberculosis before operation. Methods A retrospective study was made on 180 cases ＇after operation. Results Irritation symptoms,hematuria and lumbodynia were the most common symptoms. The positive result of acid -fast stains,urinary was 12.4% ;The diag- nostic accuracy of intravenous urography（ IVP）, B - type ultrasonography ,CT and CTU were 23.5% ,75% ,85.6% and 95.3% ,6 cases were misdiagnosed to have calculi ,4 cases were misdiagnosed as hydronephrosis, all cases underwent nephrectomize,the involved ureter was resected as much as possible. Conclusions Pay attention to the i- dentification with hydronephrosis and calculi. B - type ultrasonography play more role in diagnosis of renal tuberculosis, CTU are the most valuable diagnostic methods. It is the key of the comprehensive analysis of the clinic feature, laboratory and imaging finding.

关 键 词：结核 肾 

分 类 号：R527.1[医药卫生—内科学]