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[膀胱结核:诊断与治疗]

[Tuberculosis of the urinary bladder: diagnosis and treatment].

作者信息

Kul'chavenia E V, Brizhatiuk E V

出版信息

Urologiia. 2006 May-Jun(3):61-4, 66.

Abstract

Tuberculosis of the urinary bladder (UB) is registered in 10-45.6% patients with urogenital tuberculosis. It is a severe incapacitating complication of kidney tuberculosis which significantly lowers quality of life. The results of the standard therapy of 76 patients with tuberculous cystitis are analysed. UB tuberculosis is diagnosed more often in women, outcomes of their treatment are worse. Twenty six patients with UB tuberculosis at the stage of overactive bladder received polychemotherapy and adjuvant trospium. After 3 months urination frequency decreased 4.3 times, on the average; UB volume increased 4.7 times, on the average. Complications were not registered.

摘要

膀胱结核(UB)在10% - 45.6%的泌尿生殖系统结核患者中被确诊。它是肾结核的一种严重致残性并发症,会显著降低生活质量。对76例结核性膀胱炎患者的标准治疗结果进行了分析。膀胱结核在女性中更常被诊断出,她们的治疗效果更差。26例处于膀胱过度活动症阶段的膀胱结核患者接受了多药化疗和辅助使用曲司氯铵。3个月后,平均排尿频率降低了4.3倍;膀胱容量平均增加了4.7倍。未出现并发症。

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