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目的:探讨不典型肾结核的临床表现及诊治方法。方法:回顾性分析21例肾结核的临床资料。结果:21例患者主要表现为尿频、尿急、尿痛、腰痛。尿常规异常90%(19/21)。尿沉渣找抗酸杆菌阳性率75%(15/20)。7例药物保守治疗,13例手术治疗。结论:不典型肾结核的临床表现隐匿,是导致误诊的主要原因。尿查抗酸杆菌是关键,影像学检查能帮助诊断。治疗上保肾为主,切肾为辅。
Objective: To investigate the clinical manifestations and diagnosis and treatment of atypical renal tuberculosis. Methods: A retrospective analysis of 21 cases of renal tuberculosis clinical data. Results: The main manifestations of 21 patients were pollakiuria, urgency, dysuria, lumbago. Urinary routine abnormalities 90% (19/21). Urine sediment looking for acid-fast bacilli positive rate of 75% (15/20). 7 cases of conservative treatment of drugs, 13 cases of surgical treatment. Conclusion: The clinical manifestations of atypical renal tuberculosis hiding, is the main reason leading to misdiagnosis. Urine acid-fast bacilli is the key, imaging studies can help diagnose. Mainly on the treatment of kidney-based, cut kidney supplement.