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目的探讨不典型肾结核的临床特征及诊断治疗方法。方法回顾分析26例不典型肾结核患者的临床资料。结果泌尿系结核的临床症状越来越不典型,经药物治疗的12例及手术治疗的14例均治愈。结论不典型肾结核临床特征与文献报道有明显差异。对其诊断需要在提高认识的同时重视病史,综合分析尿细菌学,X线检查,CT检查,个别患者只有在手术时才能确诊。
Objective To investigate the clinical features and diagnosis and treatment of atypical renal tuberculosis. Methods Retrospective analysis of 26 cases of atypical renal tuberculosis clinical data. Results The clinical symptoms of urinary tuberculosis were more and more atypical. All 12 cases treated by drugs and 14 cases treated by surgery were cured. Conclusions The clinical features of atypical renal tuberculosis are obviously different from those reported in the literature. The diagnosis needs to raise awareness at the same time attach importance to medical history, a comprehensive analysis of urine bacteriology, X-ray examination, CT examination, individual patients can only be confirmed at the time of surgery.