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本文分析了76例肾结核病例,着重在诊断方面。作者根据分析提出6项条件,为具有肾外结核史而出现不明原因的血尿,常规培养脓尿未发现病原菌,尿残渣镜检时发现耐酸性结核病者,任何一项均可进行确诊。对临床一时不能确诊者,要参考临床症状,并辅助于膀胱镜、肾图、超声波及肾盂造影病理等检查方能不易误诊,本组76例中76.3％做外科手术治疗,并认为手术对此病治疗应首先考虑,因为单纯抗结核药物内科治疗仅限于无手术适应者。
This article analyzes 76 cases of renal tuberculosis, focusing on the diagnosis. According to the analysis of the proposed six conditions for the history of tuberculosis with unexplained hematuria, routine culture of pyuria was found in pathogens, urinary residue microscopic examination found acid-resistant tuberculosis, either can be diagnosed. For patients who can not be diagnosed temporarily, clinical symptoms should be consulted, and assisted by cystoscopy, renal mapping, ultrasonography and pyelography should not be easily misdiagnosed. 76.3% of the 76 patients underwent surgery in this group and considered that surgery Disease treatment should be considered first, because the medical treatment of anti-tuberculosis drugs is limited to no surgical adaptation.