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1982年以来,我院收治不典型肾结核患者69例,现对其诊断讨论如下。1 临床资料 本组男30例,女39例;平均年龄38岁(18～57岁)。入院诊断为肾脏无功能13例,肾结石4例,输尿管结石2例,肾积水、输尿管狭窄梗阻8例,脓肾8例,附睾结核10例,膀胱尿道炎20例,血尿待诊2例,尿毒症2例。36例于术前经细菌学或病理活检确诊,余33例于术后明确诊断。2 讨论 典型肾结核的临床表现为尿路刺激症状、腰痛、低热、盗汗、消瘦等;尿液检查常见红细胞、白细胞及脓细胞;X线有肾脏破坏征象,尿细菌学检查抗酸杆菌阳性。本组69例
Since 1982, our hospital admitted to patients with atypical renal tuberculosis in 69 cases, the diagnosis is discussed below. 1 Clinical data The group of 30 males and 39 females; mean age 38 years (18 to 57 years old). Admission was diagnosed as renal non-functioning in 13 cases, 4 cases of kidney stones, ureteral calculi in 2 cases, hydronephrosis, ureteral stricture obstruction in 8 cases, 8 cases of pus, 10 cases of epididymal tuberculosis, 20 cases of bladder urethritis, 2 cases of hematuria pending treatment , Uremia in 2 cases. 36 cases were diagnosed preoperatively by bacteriological or biopsy, and more than 33 cases were diagnosed after operation. 2 Discussion The clinical manifestations of typical renal tuberculosis urinary tract irritation, low back pain, fever, night sweats, weight loss; urine examination of common red blood cells, white blood cells and pus; X-ray signs of renal destruction, urine bacteriological acid-fast bacilli. This group of 69 cases