Debré B
Sem Hop. 1982 Feb 4;58(5):298-305.
Results of a retrospective study of 72 patients with urogenital tuberculosis admitted to Hôpital Cochin Paris, from 1970 to 1980, were compared with those of studies conducted since 1945. Though there has been a marked reduction in the number of cases of tuberculosis in absolute terms, morbidity has not altered as a nephrectomy was performed in 44 p. cent of cases both in the period 1970 to 1980, and the year 1950. There has, however, been a noticeable increase in the use of plastic surgery. Future perspectives involve both the medical and surgical fields, in the former leading to a shorter period (9 months) of treatment, and in the latter by the development of new endoscopic procedures: modelling ureteral sounds, and hydrostatic bladder distention. It is reasonable to assume that surgery will be required less often in the future, medical treatment involving endoscopic procedures being sufficient to treat the majority of urogenital tuberculosis cases.
对1970年至1980年期间入住巴黎科尚医院的72例泌尿生殖系统结核患者进行回顾性研究的结果，与1945年以来开展的研究结果进行了比较。尽管从绝对数量来看，结核病病例数已显著减少，但发病率并未改变，因为在1970年至1980年期间以及1950年，44%的病例都进行了肾切除术。然而，整形手术的使用有明显增加。未来的前景涉及医学和外科领域，在医学方面可缩短治疗周期（9个月），在外科方面则通过开发新的内镜手术：塑形输尿管探子和膀胱液压扩张。有理由认为，未来手术需求将减少，涉及内镜手术的药物治疗足以治疗大多数泌尿生殖系统结核病例。
