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目的：提高泌尿系结核的诊断水平。方法：回顾性分析28例泌尿系结核患者的临床资料，总结其诊断经验。结果：静脉肾盂造影检出率53.5％、C T平扫+增强检出率64.2％，膀胱镜膀胱粘膜活检检出率70％，在泌尿系结核感染病例中有较高的阳性率。尿沉渣找抗酸杆菌阳性率较低22.2％，血结核抗体，P P D试验及B超检查对泌尿系结核感染诊断的特异性较低。结论：泌尿系结核的临床诊断应综合分析临床表现、尿液和血液检查、影像学检查、病原学检查,诊断性抗结核治疗等多方面资料，才能更好的做出判断。“,”Objective To increase the diagnostic level of urinary system tuberculosis.Methods Retrospectively analysed the clinical data of 28 patients with urinary tract tuberculosis, and summed up the experiences of the diagnosis.Results The intravenous urography imaging detection rate of urinary tuberculosis was about 53.5%, CT scan plus enhanced detection rate was about 64.2%, and cystoscope bladder mucosa biopsy detection rate was approximate 70%, these methods had higher positive detection rate in the urinary tract tuberculosis. The urinary sediment detection rate of acid fast stains was low, just only 22.2%, Tuberculosis antibody, PPD test, and type B ultrasonic examination showed lower diagnostic specificity for urinary tract tuberculosis. Conclusions: The accurate clinical diagnosis of urinary system tuberculosis should be based on the comprehensive analysis of clinical manifestations, urine and blood tests, imaging examination, etiology examination, and diagnostic anti-tuberculosis treatment.