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：

結核; 泌尿生殖系統; 臨床特點

DOI：

10.7507/1002-0179.20130320

Video：

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目的　探討泌尿生殖系統結核的臨床特點。方法　對2006年5月－2011年5月住院確診為泌尿生殖系統結核的83例患者，總結分析其臨床特點、診療情況。結果　患者病程平均3.2年，臨床特征多為尿路刺激癥狀、腎區疼痛及尿檢異常等，尿抗酸桿菌陽性率僅6.67%，診斷困難。器官功能受損重，手術比例高達44.58%。結論　泌尿生殖系統結核雖發病率逐年下降，但臨床表現缺乏特異性，常延誤診斷治療。注重對該疾患臨床資料的全面收集和深入分析，對提高診療水平有重要意義。

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, 陳一初, 李志軍, 等. 腎結核仍是不發達地區的多發病: 47例藏族患者的回顧[J]. 中華腎臟病雜志, 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. 我國肺結核疫情現狀公布[J]. 中華醫學信息導報, 2011, 26(7): 8.
9. 　郭學煒, 王洪舉, 徐寧. 西藏林芝地區2007-2010年新發涂陽肺結核病例流行病學特征分析 [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. 　吳階平. 吳階平泌尿外科學[M]. 濟南: 山東科學技術出版社, 2004: 603-607.

West China Medical Journal

Clinical Analysis of Genitourinary Tuberculosis

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