Characteristics on diagnosis and treatment of renal tuberculosis / 中华外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To study the new characteristics on diagnosis and treatment of renal tuberculosis (RT).</p><p><b>METHODS</b>Eighty-seven patients with renal tuberculosis were retrospectively reviewed; their diagnosis was established by standard microbiological and histological techniques.</p><p><b>RESULTS</b>Atypical RT was diagnosed by various examinations, including urinary analysis, polymerase chain reaction of tuberculosis (PCR-TB), ultrasonography, intravenous urography (i.v.U), and computerized tomography (CT). Treatment consisted of antituberculous chemotherapy in all patients, in combination with nephrectomy (62.5%) or enterocystoplasty (4.6%).</p><p><b>CONCLUSIONS</b>The differential diagnosis of RT should be emphasized, especially for atypical RT, provided a much more specific diagnosis in clinical suspicion of RT. i.v.U can not be regarded as a specific examination for RT. Computerised tomography (CT) can be used for early diagnosis of RT. Surgery for RT is still ablative.</p>