中国实用医药
中國實用醫藥
중국실용의약
China Practical Medical
2015年
31期
4-6
,共3页
魏旭%赵志清%尹永华%夏安
魏旭%趙誌清%尹永華%夏安
위욱%조지청%윤영화%하안
肾结核%临床%影像学
腎結覈%臨床%影像學
신결핵%림상%영상학
Renal tuberculosis%Clinical%Imaging
目的 探讨不典型肾结核的临床及影像学特征.方法 回顾性分析67例不典型肾结核患者的临床及影像学资料.结果 67例不典型肾结核患者行静脉尿路造影检查, 发现阳性改变64例(95.5%).67例患者行B超检查, 发现阳性改变59例(88.1%), 其中明确诊断者15例(22.4%).67例患者行CT检查47例, CT诊断准确42例(89.4%).尿常规异常者57例, 连续3 d留尿找结核杆菌者60例, 其中阳性者23例(38.3%), 血沉加快者28例(41.8%).67例患者经药物治疗的患者13例, 经手术治疗的患者54例, 治疗效果均满意.结论 影像学检查对诊断肾结核具有非常重要的意义, 螺旋CT检查对肾结核的诊断具有越来越重要的临床价值.对早期不典型肾结核完全可通过药物治愈, 但对中、晚期不典型肾结核, 肾切除术仍是主要治疗手段.
目的 探討不典型腎結覈的臨床及影像學特徵.方法 迴顧性分析67例不典型腎結覈患者的臨床及影像學資料.結果 67例不典型腎結覈患者行靜脈尿路造影檢查, 髮現暘性改變64例(95.5%).67例患者行B超檢查, 髮現暘性改變59例(88.1%), 其中明確診斷者15例(22.4%).67例患者行CT檢查47例, CT診斷準確42例(89.4%).尿常規異常者57例, 連續3 d留尿找結覈桿菌者60例, 其中暘性者23例(38.3%), 血沉加快者28例(41.8%).67例患者經藥物治療的患者13例, 經手術治療的患者54例, 治療效果均滿意.結論 影像學檢查對診斷腎結覈具有非常重要的意義, 螺鏇CT檢查對腎結覈的診斷具有越來越重要的臨床價值.對早期不典型腎結覈完全可通過藥物治愈, 但對中、晚期不典型腎結覈, 腎切除術仍是主要治療手段.
목적 탐토불전형신결핵적림상급영상학특정.방법 회고성분석67례불전형신결핵환자적림상급영상학자료.결과 67례불전형신결핵환자행정맥뇨로조영검사, 발현양성개변64례(95.5%).67례환자행B초검사, 발현양성개변59례(88.1%), 기중명학진단자15례(22.4%).67례환자행CT검사47례, CT진단준학42례(89.4%).뇨상규이상자57례, 련속3 d류뇨조결핵간균자60례, 기중양성자23례(38.3%), 혈침가쾌자28례(41.8%).67례환자경약물치료적환자13례, 경수술치료적환자54례, 치료효과균만의.결론 영상학검사대진단신결핵구유비상중요적의의, 라선CT검사대신결핵적진단구유월래월중요적림상개치.대조기불전형신결핵완전가통과약물치유, 단대중、만기불전형신결핵, 신절제술잉시주요치료수단.
Objective To investigate clinical and imaging characteristics of atypical renal tuberculosis. Methods A retrospective analysis was made on clinical and imaging data of 67 atypical renal tuberculosis patients.Results Those 67 cases with atypical renal tuberculosis received intravenous urography examination, which showed 64 cases with positive changes (95.5%). They received B ultrasound examination, and there were 59 cases with positive changes (88.1%), along with 15 clearly diagnosed cases (22.4%). 47 cases among 67 cases received CT examination, and there were 42 cases with accurate diagnosis (89.4%). There were 57 cases with abnormal urine routine and 60 cases with mycobacterium tuberculosis detection in urine for continuous 3 d. Among them, 23 cases were positive (38.3%) and 28 cases had quickened erythrocyte sedimentation rate (41.8%). There were 13 cases receiving drug therapy and 54 cases receiving surgical treatment in the 67 cases. They all got satisfactory effects.Conclusion Imaging examination contains highly important significance for diagnosis of renal tuberculosis, and spiral CT provides increasingly important clinical value. Early atypical renal tuberculosis can be cured completely by drug medication measures, while moderate and advanced atypical renal tuberculosis still require nephrectomy as main treatment method.
