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[全肾输尿管切除术在肾结核治疗中的地位]

[The place of total nephro-ureterectomy in the treatment of urinary tuberculosis].

作者信息

Burghele T

出版信息

Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1976 Mar-Apr;25(2):81-8.

PMID:133397
Abstract

Taking into consideration the frequency of urethral lesions in the frame of uro-genital tuberculosis, and their serious effects on the renal tissue it becomes apparent that either conservative or radical surgical therapies should be applied when their extension make it mandatory. Besides prevention of development, or of the maintenance of vesical lesions can be obtained. On the basis of a statistic covering 1 440 cases of renal tuberculosis a total figure of 492 nephrectomies is found and 130 total nephro-uretherectomies. The transperitoneal pathway is suggested, that does not imply any risks and generally characterized by a benign post-operative evolution, which allows also for the simultaneous solution of eventual tuberculous genital lesions, both in men and in women.

摘要

考虑到泌尿生殖系统结核框架下尿道病变的发生率及其对肾组织的严重影响,显然当病变范围使得必须采取措施时,应采用保守或根治性手术治疗。此外,还可预防膀胱病变的发生或维持。基于一项涵盖1440例肾结核病例的统计数据,共发现492例肾切除术和130例全肾输尿管切除术。建议采用经腹途径,该途径无任何风险,术后一般恢复良好,还能同时解决男性和女性可能存在的结核性生殖器病变。

相似文献

1
[The place of total nephro-ureterectomy in the treatment of urinary tuberculosis].[全肾输尿管切除术在肾结核治疗中的地位]
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1976 Mar-Apr;25(2):81-8.
2
[Effectiveness of the surgical treatment of patients with tuberculosis of the kidneys and urinary tract].[肾脏和尿路结核患者手术治疗的有效性]
Probl Tuberk. 1986(5):52-5.
3
[Clinico-histometric comparisons in the prognosis of the results of reconstructive operations in urinary tract tuberculosis].[尿路结核重建手术结果预后的临床组织测量学比较]
Probl Tuberk. 1982 Sep(9):62-7.
4
[A ureteral endoscopic approach--a minimally invasive method complementary to nephroureterectomy].[输尿管内镜入路——一种与肾输尿管切除术互补的微创方法]
Chirurgia (Bucur). 1998 Mar-Apr;93(2):107-14.
5
[Autotransplantation of the kidney in tuberculosis].
Vestn Khir Im I I Grek. 1985 Nov;135(11):94-7.
6
[Preservative surgery in treatment of renal and ureteral tuberculosis].
Helv Chir Acta. 1979 Aug;46(3):379-85.
7
[Surgical therapy of urogenital tuberculosis].
Urologe. 1970 Jan;9(1):1-9.
8
Reconstructive surgery for genitourinary tuberculosis.泌尿生殖系统结核的重建手术
Trans Am Assoc Genitourin Surg. 1968;60:93-107.
9
[Surgical treatment of tuberculous urethral strictures].[结核性尿道狭窄的外科治疗]
Z Urol Nephrol. 1969;62(9):705-9.
10
[Surgical treatment of urogenital tuberculosis].[泌尿生殖系统结核的外科治疗]
Dtsch Med Wochenschr. 1970 Jun 26;95(26):1410-1. doi: 10.1055/s-0028-1108658.

引用本文的文献

1
Retroperitoneal Laparoscopic Nephroureterectomy for Tuberculous Nonfunctioning Kidneys: a single-center experience.后腹腔镜肾输尿管切除术治疗结核性无功能肾:单中心经验
Int Braz J Urol. 2015 Mar-Apr;41(2):296-303. doi: 10.1590/S1677-5538.IBJU.2015.02.16.