Wong S H, Lau W Y
J Urol. 1980 Aug;124(2):187-91. doi: 10.1016/s0022-5347(17)55367-7.
During the last 3 years we have explored all cases of non-functioning tuberculous kidneys in patients seen at our hospital. The operative, pathological and bacteriological findings are presented. In 89.3 per cent of the cases (25 of 28) the kidneys and ureters were destroyed and nephrectomy was done. In 10.7 per cent (3 of 28 cases) a reconstructive operation was possible with gratifying results. In 17.9 per cent (5 of 28 cases) the caseous material was positive for acid-fast bacilli on direct smear. It is concluded that surgical exploration should be done on all patients with non-functioning tuberculous kidneys to, 1) salvage kidneys before they are damaged totally by the obstructive lesions, 2) remove a potential source of infection with viable organisms and 3) shorten convalescence.
在过去3年里，我们对我院收治的无功能结核肾患者的所有病例进行了研究。现将手术、病理及细菌学检查结果报告如下。89.3%的病例（28例中的25例）肾脏和输尿管已遭破坏，遂行肾切除术。10.7%（28例中的3例）可行重建手术，效果良好。17.9%（28例中的5例）的干酪样物质直接涂片抗酸杆菌呈阳性。得出的结论是，对于所有无功能结核肾患者均应进行手术探查，目的在于：1）在肾脏被梗阻性病变完全破坏之前挽救肾脏；2）清除带有活菌的潜在感染源；3）缩短康复期。
