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目的 :探讨肾结石并发肾结核的诊断方法。方法 :回顾性分析 6例此病患者临床资料。结果 :临床诊断正确者 1例 ,术后病理确诊者 4例 ,1例因接受 ESWL后尿液结核杆菌培养阳性而确立诊断 ,临床诊断准确率为 1 6.7%。结论 :肾结石并发肾结核临床表现不典型 ,肾结核症状多被肾结石症状掩盖 ,故应注意临床资料中有提示意义的线索 ,对肾结石伴肾功能严重损害而患肾大小变化不著者尤应警惕并发肾结核。
Objective: To explore the diagnosis of renal stones complicated with renal tuberculosis. Methods: The clinical data of 6 patients with this disease were retrospectively analyzed. Results: 1 patient was diagnosed correctly, 4 patients were pathologically diagnosed after operation, and 1 patient was confirmed positive for culture of M. tuberculosis after receiving ESWL. The accuracy of clinical diagnosis was 1 6.7%. Conclusions: The clinical manifestations of renal tuberculosis complicated with renal tuberculosis are not typical, and the symptoms of renal tuberculosis are mostly covered by the symptoms of kidney stones. Therefore, we should pay attention to the clues in the clinical data suggesting that kidney stones can not be changed if the kidney stones are severely damaged Should be alert to concurrent renal tuberculosis.