HINSHAW H C
Calif Med. 1952 Mar;76(3):141-2.
The use of newer drugs in the treatment of genito-urinary tuberculosis is usually auxiliary to accepted surgical and medical procedures. The treatment of choice is removal of the tuberculous focus by surgical methods whenever this can be achieved. Risk of tuberculous complications of surgical operation may be greatly reduced by the use of these drugs. There is also a significant place for such treatment when disease is too far advanced to permit surgical removal. Under these conditions, the principal result is one of palliation only in many circumstances. The drugs of choice at this time are a combination of streptomycin and para-aminosalicylic acid (PAS) and the treatment is frequently more prolonged than in the case of tuberculosis of other organs.
在泌尿生殖系统结核的治疗中,使用新型药物通常是对公认的外科和内科治疗方法的辅助。只要能够实现,首选的治疗方法是通过外科手术切除结核病灶。使用这些药物可大大降低外科手术结核并发症的风险。当疾病进展到无法进行手术切除时,这种治疗也有重要地位。在这些情况下,在许多情形下主要结果仅是缓解症状。此时的首选药物是链霉素和对氨基水杨酸(PAS)的联合使用,而且与其他器官结核的情况相比,治疗时间通常更长。