Poulios C, Malovrouvas D
Acta Urol Belg. 1990;58(3):101-23.
Tuberculosis still holds the first position among the spectrum of potentially lethal inflammatory diseases. The present paper presents the progress noted in the approach of the disease and observations recorded from the management of 160 cases of genitourinary tract tuberculosis. All patients had been admitted to the Urology Department of the Evangelismos Hospital during the period 1976-1986. Age at presentation, symptoms, diagnostic methods, staging of the disease at first diagnostic are analysed. With the latest progress in the means of diagnosis and assessment of tuberculous dissemination, and the use of new chemotherapeutic agents, the percentage of the patients medically managed have shown a definite increase. Simultaneously, the number of cases treated with reconstructive surgical operations is also increasing. Radical ablative surgical procedures still hold their position in advanced neglected cases or when chemotherapeutic regimes fail. The combined use of the new endo-urologic methods and chemotherapy is of great value.
结核病在一系列潜在致命性炎症疾病中仍位居首位。本文介绍了在该疾病治疗方法上取得的进展以及对160例泌尿生殖道结核病例管理的观察记录。所有患者均于1976年至1986年期间入住福音医院泌尿外科。分析了就诊时的年龄、症状、诊断方法以及首次诊断时疾病的分期。随着结核播散诊断和评估手段的最新进展以及新化疗药物的使用，接受药物治疗的患者比例有了明显增加。同时，接受重建性外科手术治疗的病例数也在增加。根治性切除手术在晚期未得到治疗的病例或化疗方案失败时仍有其地位。新型腔内泌尿外科方法与化疗的联合应用具有重要价值。
