Zwergel T, Zwergel U, Ziegler M
Z Urol Nephrol. 1985 Oct;78(10):529-37.
In each case the primary treatment of tuberculosis is a medicamentous therapy. Using the modern basis medication of isoniazid, rifampicin, ethambutol and streptomycin at present for the normal case the short-term therapy of maximally 12 months made its way. The operative treatment of the urogenital tuberculosis is only a part of the total therapy plan. Among 715 patients nearly half of them had to undergo at least one surgical intervention from 1966 to 1983. The nephrectomy rate of 22.3% is to be classified as high and is conditioned by progressing and extended changes of the kidneys, which are in most cases recognized too late. In 69 patients partial resections of the kidney were performed. Since 1976 the indication for this intervention was in 13 cases made only intraoperatively and at the same this the planned nephropyeloplasty was performed on account of disturbance of the urine flow. Good postoperative results encourage to perform plastic reconstructive measures also in changes of the kidneys of stage III.
在每种情况下，结核病的主要治疗方法都是药物治疗。目前，对于一般病例，使用异烟肼、利福平、乙胺丁醇和链霉素等现代基础药物进行最长12个月的短期治疗已成为标准疗法。泌尿生殖系统结核病的手术治疗只是整个治疗计划的一部分。在1966年至1983年期间，715名患者中近一半至少接受了一次手术干预。22.3%的肾切除率被认为较高，这是由肾脏的进行性和广泛性病变导致的，而这些病变在大多数情况下发现得太晚。对69例患者进行了肾脏部分切除术。自1976年以来，有13例患者仅在术中确定了这种干预的适应症，同时由于尿流紊乱，还进行了计划中的肾盂成形术。良好的术后效果鼓励在III期肾脏病变中也采取整形重建措施。
