作者前瞻性研究了放射学及临床可疑的28例泌尿生殖器结核病人。研究病例尿细菌培养和恶性细胞培养均阴性,症状有排尿困难、血尿和/或肾区疼痛,无尿结石。25例作排泄性尿路造影,11例提示肾结核,14例正常。超声图象异常的23例中10例尿抗酸杆菌培养阴性,13例阳性(其中9例合并有局灶性病变)。该23例行超声导向细针抽吸细胞学检查。抽吸用21号腰穿针。右肾取仰卧位,经肝穿刺;左肾取俯卧位,从后路穿刺。术前不用药,局麻下操作。为减少与操作有关的并发症,穿刺不得多于3次。抽吸物涂于三块玻片上,空气干燥,用梅-格二氏染色剂和抗酸染色法染色。如发现上皮样细胞、同时有巨细胞或坏死,或如果三者同存, The prospective study of radiology and clinical suspicious 28 cases of genitourinary tuberculosis patients. Study cases Urinary bacterial cultures and malignant cell cultures were negative with symptoms of dysuria, hematuria and / or pain in the kidney area and no urolithiasis. 25 cases of excretory urography, 11 cases of renal tuberculosis, 14 cases of normal. Among the 23 cases with abnormal ultrasound images, 10 cases of urine acid-fast bacilli were negatively cultured and 13 cases were positive (including 9 cases with focal lesions). The 23 patients underwent ultrasound guided fine needle aspiration cytology. Suction needle with a waist on the 21st. Right kidney to supine position, the liver puncture; left kidney to take prone position, puncture from the posterior. Preoperative medication, under local anesthesia operation. No more than 3 punctures to reduce the complications associated with the procedure. The aspirate was applied to three glass slides, air-dried and stained with Merck-Stark’s stain and acid-fast staining. If found in epithelial cells, with giant cells or necrosis, or if the three co-exist,