文章摘要
肖世伟,李亚楠,杨秀书,等.输尿管结核 3例并文献复习[J].安徽医药,2020,24(8):1537-1541.
输尿管结核 3例并文献复习
Ureteral tuberculosis:a report of 3 cases and literature review
  
DOI:10.3969/j.issn.1009?6469.2020.08.014
中文关键词: 结核,泌尿生殖系统  输尿管镜检查  输尿管结核  酶联免疫斑点测定  诊断  治疗
英文关键词: Tuberculosis,urogenital  Ureteroscopy  Ureteral tuberculosis  Enzyme?linked immunospot assay  Diagnosis  Treatment
基金项目:贵州省高层次创新型人才项目(黔科合平台人才〔2018〕5639)
作者单位E-mail
肖世伟 贵州省人民医院泌尿外科贵州贵阳 550002
昆明医科大学第二附属医院泌尿外科云南昆明 650101 
 
李亚楠 贵州中医药大学药学院贵州贵阳 550025  
杨秀书 贵州省人民医院泌尿外科贵州贵阳 550002  
袁东波 贵州省人民医院泌尿外科贵州贵阳 550002  
朱建国 贵州省人民医院泌尿外科贵州贵阳 550002 961178026@qq.com 
摘要点击次数: 1806
全文下载次数: 551
中文摘要:
      目的探讨输尿管结核的诊治方法。方法回顾分析贵州省人民医院 2017年 1月至 2019年 1月收治的 3例输尿管结核病例资料并复习相关文献。结果 1例以输尿管狭窄行多次输尿管镜检查、狭窄段球囊扩张、输尿管支架管引流治疗,最终行肾输尿管全长切除术; 1例行腹腔镜肾输尿管全长切除术;第 3例行输尿管镜检查、狭窄段内切开、输尿管活检、输尿管支架管引流术。 3例 T细胞斑点实验(T?SPOT.TB)均阳性, 1例尿结核杆菌 DNA阳性。术后病理结果均为输尿管结核。随访 8~16个月,平均 12个月,预后良好。结论 T?SPOT.TB、多层螺旋 CT、尿结核杆菌 DNA,具有较高的诊断价值,成为诊断泌尿系结核主要的手段;输尿管镜有助于提高诊断率,可考虑应用于临床;对于输尿管结核而言,早期诊断、引流及有效的抗结核治疗可保护肾脏功能,减少肾脏的丢失。
英文摘要:
      Objective To investigate the diagnosis and treatment of ureteral tuberculosis.Methods The clinical data of 3 cases of ureteral tuberculosis in Guizhou Provincial People’s Hospital from January 2017 to January 2019 were retrospectively analyzed and relevant literatures were reviewed.Results One patient with ureterostenosis was treated by multiple ureteroscopy,balloon dilatation of the stenotic segment and ureter stent drainage,and finally a nephro?ureterectomy with bladder?cuff was performed.One patientwas treated with laparoscopic nephro?ureterectomy with bladder?cuff.The third patient was treated with ureteroscopy,mucosabiop?sy and endoureterotony combined with internal ureteral stenting.All 3 cases of T?cell spot test for tuberculosis infection(T?SPOT. TB)were positive,and 1 case of urinary?tuberculosis DNA was positive.Postoperative pathological results were all ureteral tubercu?losis.Follow?up for 8?16 months,with an average of 12 months,showed a good prognosis.Conclusion T?SPOT.TB,multi?slice spi?ral CT and urinary?tuberculosis DNA have high diagnostic values and become the main means of diagnosing urinary tuberculosis.Ureteroscopy is helpful to improve the diagnostic rate and can be considered for clinical application.For ureteral tuberculosis,earlydiagnosis,drainage and effective antituberculosis therapy can protect renal function and reduce renal loss.
查看全文   查看/发表评论  下载PDF阅读器
关闭

分享按钮