肾结核的综合诊断(1)
【摘要】 目的 探讨提高肾结核诊断的方法。方法 回顾分析肾结核诊断的方法和诊断敏感性。结果 尿抗酸杆菌检查、尿PCR检测结核菌DNA、KUB/IVU、B超、CT对肾结核的诊出率分别为29.3%(17/58)、79.3%(46/58)、84.5%(49/58)、44.8%(26/58)和65.5%(38/58)，经上述检查不能确诊的患者，行膀胱镜活检、输尿管镜检、经皮肾穿刺引流液查结核菌及引流液PCR检测结核菌DNA等可提高诊断率。结论 随着不典型性肾结核的增多，肾结核的诊断需要依靠多种诊断方法才能作出正确诊断。
【关键词】 肾输尿管结核； 诊断
Comprehensive diaghosis of renal tuberculosis HU Dong-hua，QIU Xue-de，LI Ze-hui，et al.Zones Renmin Hospital，Xianggelila 674402，China
【Abstract】 Objective To improve the diagnosis of kidney tuberculosis.Methods Retrospective analysis of kidney tuberculosis methods and diagnostic sensitivity.Results The positive results of Urine acid-fast bacilli, urine PCR-TB-DNA, KUB/IVU, B ultrasound scan, CT was 29.3%(17/58),79.3%(46/58),84.5%(49/58),44.8%(26/58) and 65.5%(38/58) respectively. The cystoscope biopsy, ureteroscopy and biopsy and PCR-TB-DNA in the fluid from percutaneous nephrostomy might conduce to the diagnosis when all of above examinations could not gain the final diagnosis.Conclusion Because of increasing of atypism kidney tuberculosis, combination of various diagnosis methods was necessary. ......
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【关键词】 肾输尿管结核； 诊断
Comprehensive diaghosis of renal tuberculosis HU Dong-hua，QIU Xue-de，LI Ze-hui，et al.Zones Renmin Hospital，Xianggelila 674402，China
【Abstract】 Objective To improve the diagnosis of kidney tuberculosis.Methods Retrospective analysis of kidney tuberculosis methods and diagnostic sensitivity.Results The positive results of Urine acid-fast bacilli, urine PCR-TB-DNA, KUB/IVU, B ultrasound scan, CT was 29.3%(17/58),79.3%(46/58),84.5%(49/58),44.8%(26/58) and 65.5%(38/58) respectively. The cystoscope biopsy, ureteroscopy and biopsy and PCR-TB-DNA in the fluid from percutaneous nephrostomy might conduce to the diagnosis when all of above examinations could not gain the final diagnosis.Conclusion Because of increasing of atypism kidney tuberculosis, combination of various diagnosis methods was necessary. ......
您现在查看是摘要页，全文长 4751 字符。