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A retrospective study of diagnosis and treatment of renal tuberculosis

Author: ZuoXueFang
Tutor: CaiSongLiang
School: Zhejiang University
Course: Surgery ( Urology )
Keywords: Renal tuberculosis Ultrasonic wave Polymerase chain reaction
CLC: R527.1
Type: Master's thesis
Year: 2001
Downloads: 114
Quote: 1
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Abstract


Objective: To investigate the clinical characteristics of renal tuberculosis diagnosis and treatment principles. Methods: October 1993 - February 2000 period with complete data 150 cases of renal tuberculosis patients, its incidence, age distribution, clinical features, renal tuberculosis involved site, urine test results, imaging examination results and treatment for a wide range of retrospective analysis. RESULTS: Seven years were 150 cases of renal tuberculosis patients, accounting for the same period the total inpatient urology 1.7%. 31 to 50 age group the highest incidence, accounting for 63.4% of the men and women no significant difference in the incidence (71/79). The most common clinical symptoms were 54.7 per cent lower back pain, frequent urination 51.3%, 52% and hematuria. Abnormal urine was 78%, urine acid-fast bacilli positive rate 41.1%, PCR detection of Mycobacterium tuberculosis DNA in the urine was 82.9% positive urine culture positive tuberculosis was 73.3% (11/15). KUB IVP checks (checks partial line RGP) D Zhejiang University master's degree thesis l abnormalities was 93.4%, of which there are 35 two percent diagnosis of renal tuberculosis. B ultrasound - diagnosis of renal tuberculosis door 9 cases, accounting for 79.3%. Atypical renal tuberculosis accounted for 58.7%. 150 cases have * routine nephrectomy, accounting for 74.7%. Two cases l due to uremia and dialysis line, including 1 case underwent allogeneic renal dialysis graft l, l patients were discharged. 36 cases after diagnosis in the outpatient treatment I care anti sputum. All surgical patients in the postoperative treatment to continue regular anti skinny total course of 16 ~ 12 H. l Conclusion: The incidence of renal tuberculosis peak age of 31 to 50 years old, with a clear trend of D after the shift, but the object of this study is to inpatients, mostly in the evening] of renal tuberculosis, so the peak age of onset is still not entirely representative overall water D levels. Atypical clinical features of renal tuberculosis increased significantly. Urinalysis D is a basic measure of renal tuberculosis diagnosis, urine acid-fast bacilli examination, urine culture and urinary TB D PCR1B-DNA examination is etiologic diagnosis of renal tuberculosis heavy. To measure. B ultrasound diagnosis of renal tuberculosis compliance rate, non-invasive painless and can be used for the diagnosis of renal tuberculosis l routine examination. KUB + IVP and RGP abnormalities l rate, is to understand the anatomy and function of renal tuberculosis extent of the damage D is essential. Antituberculosis therapy is the preferred treatment of renal tuberculosis, and surgery is the treatment of advanced renal tuberculosis J primary means D

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CLC: > Medicine, health > Internal Medicine > TB > Genitourinary TB > Renal tuberculosis
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