Clinical Analysis Of The Diagnosis And Treatment Of Advanced Renal Tuberculosis

OBJECTIVE： To explore the clinical manifestations, diagnosis and treatment ofadvanced renal tuberculosis.METHODS：89cases of advanced renal tuberculosis report admitted in thehospital from January2006to December2011, a retrospective analysis of patientsage distribution, clinical symptoms, laboratory and imaging characteristics andtreatment modalities.RESULTS：36male patients (40.5%), female53cases (59.5%), bladder irritationin46cases (48.3%), gross hematuria in21cases (23.5%), urinary incontinence in3cases (3.4%), kidney pain in38cases (42.6%), weight loss and/or night sweatsin26cases (29.2%).abnormal urine of43patients (48.3%), ESR examinationpositive rate was41.1%; urine acid-fast bacilli positive rate was11.1%; Bultrasound, IVP meet the CT and CTU diagnosis of the rate of31.2%,40.0%,62.5%, and73.9%, respectively.CONCLUSION: For patients with clinical suspicion of renal tuberculosis suggestions flexible integrated use of IVU, CT, renal dynamic scintigraphy, withclinical, able to make the correct diagnosis. If the patient identified as moderate tosevere renal tuberculosis, should anti-TB treatment for2weeks, should earlyipsilateral kidney and ureter resection.Tuberculosis can shorten TB treatmentnephrectomy, greatly reducing the toxic side effects of anti-TB drugs, TB drugresistance and the chance of relapse. With the development of laparoscopictechniques and laparoscopic surgeon accumulation of experience and technologyimprovements, retroperitoneal laparoscopic nephrectomy may be moderate tosevere renal tuberculosis as the preferred method of treatment.