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患者,女,21岁。因尿急,尿痛两年,2次全程无痛性肉眼血尿收入院。两年内,患者无尿频、尿液混浊。体检:一般情况好,心肺正常。双肾未触及,右肾区轻叩痛,膀胱浊音界不高,尿道外口正常。IVP:右肾未显影,左肾正常。CT:右肾增大,肾实质变薄,部分肾盂扩张,肾盂及右输尿管壁增厚,左肾正常。膀胱镜检提示膀胱正常,右侧输尿管插管未成功。尿常规基本正常,尿中未查到结核菌。根据CT片及临床分析拟诊为右肾结核。
Patient, female, 21 years old. Due to urgency, dysuria two years, 2 times the entire painless gross hematuria income hospital. Within two years, the patient had no urinary frequency and the urine was cloudy. Physical examination: the general situation is good, normal heart and lungs. Kidney not touched, right kidney area tap, bladder dullness is not high, normal urethral orifice. IVP: the right kidney is not developed, the left kidney is normal. CT: Right kidney increased, thinning of renal parenchyma, part of the pyelonephrosis, renal pelvis and right ureteral wall thickening, left kidney normal. Cystoscopy showed normal bladder, right ureteral intubation unsuccessful. Urine routine basic normal urine was not found in TB. According to CT film and clinical analysis to be diagnosed as right kidney tuberculosis.