Köhler H, Haenselt V, Endmann P
Z Gesamte Inn Med. 1978 Oct 1;33(19):686-96.
On the basis of own experiences of twenty years and taking into consideration the knowledge of other authors the developmental tendency in the treatment of the urogenital tuberculosis is demonstrated, the indications to nephrectomy, resection of the kidney, and epididymectomy are reified as well as kind and sequelae of errors in chemotherapy analysed. From 1958 to 1977 2,868 patients with urogenital tuberculosis were hospitalized in the Central Clinic Bad Berka. Of them about 41% had to undergo an operation. A decrease of the quantity of operations can be observed only in the renal resections, whereas the nephrectomy rate is unchangedly high (16.3% of the own patients) and even shows an increasing tendency since 1975. Comparative examinations show that the pathologo-anatomical picture of the ectomized kidneys has not changed during the period of observation. The knowledge of the symptom-poor course obliges also further on differential-diagnostically to take into consideration the urogenital tuberculosis. Only on this way the still large number of organ endangering complications may be encountered in time.
基于本人二十年的经验，并考虑其他作者的知识，阐述了泌尿生殖系统结核治疗的发展趋势，明确了肾切除术、肾脏部分切除术和附睾切除术的适应证，并分析了化疗错误的类型和后果。1958年至1977年，2868例泌尿生殖系统结核患者在巴特贝卡中央诊所住院。其中约41%的患者必须接受手术。仅在肾脏部分切除术中可观察到手术数量的减少，而肾切除率一直居高不下（占本院患者的16.3%），自1975年以来甚至呈上升趋势。对比检查表明，在观察期间，切除肾脏的病理解剖图像没有变化。了解症状不明显的病程也促使在鉴别诊断时进一步考虑泌尿生殖系统结核。只有这样，才能及时发现大量危及器官的并发症。
