Application of double-J catheter in treatment of renal tuberculosis
10.3724/SP.J.1008.2008.00535
- Author:
Yu HAN
1
Author Information
1. Department of Urological Surgery
- Publication Type:Journal Article
- Keywords:
Double-J catheter;
Renal tuberculosis;
Therapeutic uses
- From:
Academic Journal of Second Military Medical University
2010;29(5):535-537
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the therapeutic efficacy of double-J catheter in treatment of renal tuberculosis(TB) and in rescuing the structure and function of the kidney. Methods: Thirty-four patients with renal TB (22 combined with single side hydronephrosis) were divided into 2 groups randomly. Group A were treated with antituberculous therapy and group B with antituberculous therapy combined with pre-treatment with double-J catheter. All 34 patients were followed up for 3 months and were re-examined. Results: The results of B ultrasound, intravenous urogram (IVU), CT and isotope nephrogram were comparable between the 2 groups before treatment, and the results were significantly different between the two groups after 3 months' drug treatment (P<0.05). The results of routine urine tests, ESR and the positive rates of urine ABF were not significantly different between the 2 groups (P<0.05). Nephrectomy was performed in 21 cases, with 15 cases(88.2%) in group A and 6 cases(35.3%)in group B (P<0.05). Conclusion: Pre-treatment with double-J catheter in the diseased side of patients with renal TB can better preserve the structure and function of the kidney, and can help to lower the rate of nephrectomy.
