Diagnosis and treatment of renal tuberculosis
10.3760/cma.j.issn.1000-6702.2010.11.011
- VernacularTitle:肾结核的早期诊断与治疗
- Author:
Ligui MIN
;
Bin WEN
;
Yinggang WANG
;
Hongliang JIA
- Publication Type:Journal Article
- Keywords:
Renal tuberculosis;
Diagnosis;
Treatment
- From:
Chinese Journal of Urology
2010;31(11):761-763
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the diagnosis and treatment of renal tuberculosis.Methods A retrospective study was made on 96 cases.Results Frequency (51.8%), urgency (37.2%),odynuria (33.4%),lumbodynia (41.0%),and hematuria(48.1%)were the most common symptoms. The diagnostic accuracy of IVU, B-type ultrasonography, CT and biopsy of mucous membrane of urinary bladder were 69.1%,12.5 %,37.5% and 33.3% respectively. 96 cases were given medicine (INH+RFP+PZA or PIA for 6-8 months).38 cases(39.6%)have been cured, while symptoms of 43 cases (44.8%) have been improved. Operation was performed on 15 cases that were ineffective treated by chemical therapy. Conclusions Urine routine, IVP, cystoscopy+biopsy of mucous membrane of urinary bladder provide important information for the diagnosis of renal tuberculosis. INH, REP and EMB or PIA combination therapy yields satisfactory outcome for early cases.
