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[肺结核泌尿系统疾病中血尿的意义]

[Significance of hematuria in phthisiourology].

作者信息

Kul'chavenia E V

出版信息

Probl Tuberk Bolezn Legk. 2003(8):17-8.

Abstract

The case histories of 299 patients examined at the Urogenital Department, Novosibirsk Research Institute of Tuberculosis, were analyzed to define the etiology of urogenital diseases. The diagnosis of urogenital tuberculosis was established in 112 (37.4%) patients; that of chronic nonspecific pyclonephritis was in 90 (30.1%) patients; chronic nonspecific prostatitis was detected in 49 (16.4%) males; urolithiasis was found in 20 (6.7%) patients. Twelve (4%) and 60 (20.1%) patients were diagnosed as having urinary system cancer and hematuria, respectively. Hematuria most frequently (75%) was indicative of the presence of a tumor. However, in renal tuberculosis, this sign was also revealed in 24.1% of the patients. It should be noted that there is a recent tendency for an increase in the incidence of diseases concurrent with hematuria: the kidney has been found to be concomitantly afflicted with tuberculosis and cancer in 2 patients; tuberculosis is concurrent with nephrolithiasis in 2 other patients.

摘要

对新西伯利亚结核病研究所泌尿生殖科检查的299例患者的病历进行了分析,以确定泌尿生殖系统疾病的病因。112例(37.4%)患者确诊为泌尿生殖系统结核;90例(30.1%)患者为慢性非特异性肾盂肾炎;49例(16.4%)男性检测出慢性非特异性前列腺炎;20例(6.7%)患者发现有尿路结石。分别有12例(4%)和60例(20.1%)患者被诊断患有泌尿系统癌症和血尿。血尿最常见(75%)提示存在肿瘤。然而,在肾结核患者中,24.1%的患者也出现了这一症状。应当指出,近期血尿并发疾病的发病率有上升趋势:2例患者肾脏同时患有结核和癌症;另外2例患者结核与肾结石并发。

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