论文部分内容阅读
目的 探讨结核致单侧肾无功的有效诊治方法。方法 对肾结核致单侧肾无功患者 2 8例进行诊治分析 ,对比尿实验室检查及影像学检查的诊断阳性率 ,全部病例均予抗痨治疗加患肾手术切除。结果 全部病例术后伤口Ⅱ /甲级愈合 ,症状消失。结论 尿频、尿急、尿痛伴血尿仍是诊断肾结核的主要线索。晚期致单侧肾无功时 ,则由于部分患者“肾自截”病理的发生 ,致临床不典型症状病例增加 ,此期诊断 ,B超、KUB ,IVP为病人的初筛手段 ,CT检查最有价值。一旦诊为无功能性肾结核 ,应积极进行手术切除患肾 ,以达到切除病灶、缩短疗程及明确诊断的目的。
Objective To investigate the effective diagnosis and treatment of unilateral renal tuberculosis caused by tuberculosis. Methods Twenty-eight cases of unilateral renal failure caused by renal tuberculosis were diagnosed and analyzed. The diagnostic positive rates of urine laboratory examination and imaging examination were compared. All the cases were treated with anti-tuberculosis and surgical resection. Results All cases of postoperative wound Ⅱ / Class A healed, the symptoms disappeared. Conclusion Urinary frequency, urinary urgency, dysuria with hematuria are still the main clues in the diagnosis of renal tuberculosis. In advanced stage of unilateral renal failure, due to some patients with “renal self-cut” pathology, resulting in an increase in cases of atypical symptoms, the diagnosis, B-, KUB, IVP for the screening of patients, CT examination valuable. Once diagnosed as non-functional renal tuberculosis, surgical removal of the kidney should be actively carried out in order to achieve the removal of lesions, shorten the course of treatment and a clear diagnosis.