Clinical Analysis of Genitourinary Tuberculosis_West China Medical Journal

Authors：

HOU Xianguo , ZHAO Zhenyu , WANG Erbin.

Department of Urology, Branch Hospital of Tibetan Of?ce in Chengdu, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

Keywords：

结核; 泌尿生殖系统; 临床特点

DOI：

10.7507/1002-0179.20130320

Video：

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目的　探讨泌尿生殖系统结核的临床特点。方法　对2006年5月－2011年5月住院确诊为泌尿生殖系统结核的83例患者，总结分析其临床特点、诊疗情况。结果　患者病程平均3.2年，临床特征多为尿路刺激症状、肾区疼痛及尿检异常等，尿抗酸杆菌阳性率仅6.67%，诊断困难。器官功能受损重，手术比例高达44.58%。结论　泌尿生殖系统结核虽发病率逐年下降，但临床表现缺乏特异性，常延误诊断治疗。注重对该疾患临床资料的全面收集和深入分析，对提高诊疗水平有重要意义。

Citation： HOU Xianguo,ZHAO Zhenyu,WANG Erbin.. Clinical Analysis of Genitourinary Tuberculosis. West China Medical Journal, 2013, 28(7): 1036-1038. doi: 10.7507/1002-0179.20130320 Copy

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1. 　Corbett EL, Watt CJ, Walker N, et al. The growing burden of tuberculosis: global trends and interactions with the HIV epidemic[J]. Arch Intern Med, 2003, 163(9): 1009-1021.
2. 　Daher Ede F, da Silva GB, Barros EJ. Renal tuberculosis in the modern era[J]. Am J Trop Med Hyg, 2013, 88(1): 54-64.
3. 　Kulchavenya E, Kim CS, Bulanova O, et al. Male genital tuberculosis: epidemiology and diagnostic[J]. World J Urol, 2012, 30(1): 15-21.
4. 　Dye C, Scheele S, Dolin P, et al. Consensus statement. Global burden of tuberculosis: estimated incidence, prevalence, and mortality by country. WHO Global Surveillance and Monitoring Project[J]. JAMA, 1999, 282(7): 677-686.
5. 　Iademarco MF, Castro KG. Epidemiology of tuberculosis [J]. Semin Respir Infect, 2003, 18(4): 225-240.
6. 　王代官, 陈一初, 李志军, 等. 肾结核仍是不发达地区的多发病: 47例藏族患者的回顾[J]. 中华肾脏病杂志, 1990, 6(1): 22.
7. 　Iademarco M, Castro K. Epidemiology of tuberculosis[J]. Semin Respir Infect, 2003, 18(4): 225-240.
8. 　李偌瑒. 我国肺结核疫情现状公布[J]. 中华医学信息导报, 2011, 26(7): 8.
9. 　郭学炜, 王洪举, 徐宁. 西藏林芝地区2007-2010年新发涂阳肺结核病例流行病学特征分析 [J]. 西藏科技, 2011, 12: 54-56.
10. 　Suankwan U, Larbcharoensub N, Viseshsindh W, et al. A clinicopathologic study of tuberculous epididymo-orchitis in Thailand [J]. Southeast Asian J Trop Med Public Health, 2012, 43(4): 951-958.
11. 　Muttarak M, ChiangMai WN, Lojanapiwat B. Tuberculosis of the genitourinary tract: imaging features with pathological correlation [J]. Singapore Med J, 2005, 46(10): 568-574.
12. 　Vijayaraghavan SB, Kandasamy SV, Arul M, et al. Spectrum of high-resolution sonographic features of urinary tuberculosis [J]. J Ultrasound Med, 2004, 23(5): 585-594.
13. 　Chandra S, Chandra H, Chauhan N, et al. Male genitourinary tuberculosis--13 years experience at a tertiary care center in India [J]. Southeast Asian J Trop Med Public Health, 2012, 43(2): 364-369.
14. 　Kulchavenya E, Zhukova I, Kholtobin D. Spectrum of urogenital tuberculosis [J]. Japan: Springer, 2013 [2013-3-25]. http://link.springer.com/article/10.1007%2Fs10156-013-0586-9.
15. 　吴阶平. 吴阶平泌尿外科学[M]. 济南: 山东科学技术出版社, 2004: 603-607.

West China Medical Journal

Clinical Analysis of Genitourinary Tuberculosis

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