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目的:提高泌尿系曲菌病的诊治水平。方法:对1993年以来诊治的5例泌尿系曲菌病患者临床资料进行分析。结果:5例均有输尿管结石样肾绞痛,多次随尿排出棉絮样物质;3例为黄曲菌,2例为熏烟色曲菌。5例均有前列腺增生症及糖尿病等诱发因素。3例有肾积水,2例有输尿管急性梗阻无尿。经去除诱发因素,加强机体免疫力,口服排石冲剂及抗真菌药治疗,5例均治愈,随访半年以上无复发。结论:对反复出现肾绞痛、排出棉絮样物质的患者,应作真菌检查,一旦确诊,可采取综合治疗方法
Objective: To improve the diagnosis and treatment of urinary tract aspergillosis. Methods: The clinical data of 5 cases of urinary tract aspergillosis diagnosed and treated since 1993 were analyzed. Results: Ureterolithic renal colic were found in all 5 cases, and cotton-like material was excreted with urine several times. Three cases were Aspergillus flavus and two were Aspergillus fumigatus. 5 cases were benign prostatic hyperplasia and diabetes induced factors. 3 cases of hydronephrosis, 2 cases of acute ureteral obstruction anuria. After removal of predisposing factors, strengthening the body immunity, oral Paishi granules and antifungal treatment, 5 cases were cured, followed up for more than six months without recurrence. Conclusion: Patients with recurrent renal colic and discharge of cotton-like substance should be tested for fungi. Once diagnosed, comprehensive treatment can be taken