输尿管支架管在肾结核治疗中的应用
Journal Title: Di-er Junyi Daxue Xuebao - Year 2008, Vol 29, Issue 5
Abstract
目的：探讨输尿管支架管(双“J”管)在肾结核治疗过程中，对于提高抗结核药治疗效果、保留患肾结构和功能的临床意义。方法：34例肾结核（22例合并单侧肾积水）患者随机分为2组，A组进行单纯抗结核药物治疗，B组在药物治疗前在患肾侧置入输尿管支架管（双“J”管）。抗结核药物治疗3个月后随访、复查。结果：治疗前两组尿常规、B超、静脉尿路造影(IVU)、CT和核素肾图检查结果无统计学差异，药物治疗3个月后随访显示两组间尿常规检查、红细胞沉降率异常、尿抗酸杆菌阳性率无统计学差异，而B超、CT检查、IVU和核素肾图结果差异具有统计学意义（P<0.05）。共21例患者行肾切除手术，A组15例（88.2%），B组6例（35.3%），具有统计学差异（P<0.05）。结论：肾结核药物治疗前在患肾侧置入输尿管支架管更有利于保留患肾的结构和功能，能降低患肾手术切除率。
Authors and Affiliations
Yu HAN, Yong XU, Wen-jun FU, Lei ZHANG, Jiang-ping GAO, Bao-fa HONG
Keywords
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