Lenk S, Rothkopf M, Brien G
Z Erkr Atmungsorgane. 1984;162(3):287-96.
With the regression of tuberculosis of the respiratory tract a marked reduction of urogenital tuberculosis caused by the known late manifestations resulted, too. In 1981 152 new cases of urogenital tuberculosis were registered in GDR being an incidence rate of 0.91 per 100,000 inhabitants. The total duration of antibiotic therapy could be reduced from previously two years to 9 months. Inspite of using highly effective aggressive antituberculotic drugs the portion of persons with nephrectomy in our hospital amounted to 27%. Superinfection with nonspecific germs and by formation of stones in the urinary tract complicated the later course of disease. 18% among 567 patients showed a nonspecific mixed infection and additional 8% had stones in the urinary tract. Complications occurred in 50% of the cases with residual kidneys. Cases of delayed diagnosis have become more frequent in the last 8 years. The prognosis of the illness is decisively determined by early diagnosis, by adequate therapy and intensive urological-nephrological dispensairic care.
随着呼吸道结核病的消退，由已知晚期表现引起的泌尿生殖系统结核病也显著减少。1981年，德意志民主共和国登记了152例新的泌尿生殖系统结核病例，发病率为每10万居民0.91例。抗生素治疗的总疗程可从之前的两年缩短至9个月。尽管使用了高效的抗结核药物，但我院接受肾切除术的患者比例仍达27%。非特异性病菌的二重感染以及尿路结石的形成使疾病后期病程复杂化。567例患者中有18%出现非特异性混合感染，另有8%患有尿路结石。50%的残留肾病例出现并发症。在过去8年中，延迟诊断的病例变得更加常见。疾病的预后决定性地取决于早期诊断、适当的治疗以及强化的泌尿外科-肾内科门诊护理。
