医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2015年
10期
84-85
,共2页
泌尿系结核%结核分支杆菌%膀胱镜%膀胱黏膜活检%影像学检查%诊断方法
泌尿繫結覈%結覈分支桿菌%膀胱鏡%膀胱黏膜活檢%影像學檢查%診斷方法
비뇨계결핵%결핵분지간균%방광경%방광점막활검%영상학검사%진단방법
urinary tuberculosis%mycobacterium tuberculosis%cystoscope%bladder mucosa biopsy%imaging examination%diagnostic method
目的：提高泌尿系结核的诊断水平。方法：回顾性分析28例泌尿系结核患者的临床资料，总结其诊断经验。结果：静脉肾盂造影检出率53.5％、C T平扫+增强检出率64.2％，膀胱镜膀胱粘膜活检检出率70％，在泌尿系结核感染病例中有较高的阳性率。尿沉渣找抗酸杆菌阳性率较低22.2％，血结核抗体，P P D试验及B超检查对泌尿系结核感染诊断的特异性较低。结论：泌尿系结核的临床诊断应综合分析临床表现、尿液和血液检查、影像学检查、病原学检查,诊断性抗结核治疗等多方面资料，才能更好的做出判断。
目的：提高泌尿繫結覈的診斷水平。方法：迴顧性分析28例泌尿繫結覈患者的臨床資料，總結其診斷經驗。結果：靜脈腎盂造影檢齣率53.5％、C T平掃+增彊檢齣率64.2％，膀胱鏡膀胱粘膜活檢檢齣率70％，在泌尿繫結覈感染病例中有較高的暘性率。尿沉渣找抗痠桿菌暘性率較低22.2％，血結覈抗體，P P D試驗及B超檢查對泌尿繫結覈感染診斷的特異性較低。結論：泌尿繫結覈的臨床診斷應綜閤分析臨床錶現、尿液和血液檢查、影像學檢查、病原學檢查,診斷性抗結覈治療等多方麵資料，纔能更好的做齣判斷。
목적：제고비뇨계결핵적진단수평。방법：회고성분석28례비뇨계결핵환자적림상자료，총결기진단경험。결과：정맥신우조영검출솔53.5％、C T평소+증강검출솔64.2％，방광경방광점막활검검출솔70％，재비뇨계결핵감염병례중유교고적양성솔。뇨침사조항산간균양성솔교저22.2％，혈결핵항체，P P D시험급B초검사대비뇨계결핵감염진단적특이성교저。결론：비뇨계결핵적림상진단응종합분석림상표현、뇨액화혈액검사、영상학검사、병원학검사,진단성항결핵치료등다방면자료，재능경호적주출판단。
Objective To increase the diagnostic level of urinary system tuberculosis.Methods Retrospectively analysed the clinical data of 28 patients with urinary tract tuberculosis, and summed up the experiences of the diagnosis.Results The intravenous urography imaging detection rate of urinary tuberculosis was about 53.5%, CT scan plus enhanced detection rate was about 64.2%, and cystoscope bladder mucosa biopsy detection rate was approximate 70%, these methods had higher positive detection rate in the urinary tract tuberculosis. The urinary sediment detection rate of acid fast stains was low, just only 22.2%, Tuberculosis antibody, PPD test, and type B ultrasonic examination showed lower diagnostic specificity for urinary tract tuberculosis. Conclusions: The accurate clinical diagnosis of urinary system tuberculosis should be based on the comprehensive analysis of clinical manifestations, urine and blood tests, imaging examination, etiology examination, and diagnostic anti-tuberculosis treatment.
