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近7年来作者治疗了92例尿路结核病例,对尿路结核的治疗、适应症、结果、以及药物和外科治疗的并发症等作了回顾性分析。患者为1975年1月～1981年12月间确诊的,检查包括全血相、肝肾功能、胸片IVP、3～6次的晨尿结核菌培养、有指征时作逆行及顺行肾盂造影、膀胱尿道镜、排泄性膀胱尿道造影及肾血管造影等。诊断依据是晨尿、体液及手术中脓液结核菌培养阳性,和切除标本有明确的结核的组织学改变。采用的抗结核药包括利福平、异烟肼、吡嗪酰胺及乙胺丁醇。患者分为3组:1组用化疗6个月;2组手术前
In the past seven years, the authors treated 92 cases of urinary tract tuberculosis and analyzed retrospectively the treatment, indications, and outcomes of urinary tract tuberculosis as well as the complications of drugs and surgical treatment. The patient was diagnosed between January 1975 and December 1981, the examination included whole blood phase, liver and kidney function, chest radiograph IVP, 3 to 6 morning morning urine TB culture, retrograde and anterograde renal pelvis Angiography, bladder urethra, excretory bladder and urethrography and renal angiography. Diagnosis is based on the morning urine, tuberculosis and humoral fluid surgery and positive culture, and removal of specimens of a clear histological changes of tuberculosis. Anti-TB drugs used include rifampicin, isoniazid, pyrazinamide and ethambutol. Patients were divided into 3 groups: 1 group with chemotherapy for 6 months; 2 groups before surgery