摘要
目的 探讨输尿管镜活检技术在不典型泌尿系结核患者临床诊断中的应用价值。方法 纳入2013年12月至2015年12月期间确诊为不典型泌尿系结核的18例患者作为研究对象,分别采用输尿管镜活检术、泌尿系统影像学检查和尿沉渣抗酸杆菌检查对患者再次实施诊断,并将三种诊断方法的诊断结果与病理诊断结果进行比较。结果输尿管镜活检术的阳性检出率为77.8%,明显高于泌尿系统影像学检查、尿沉渣抗酸杆菌检查的50.0%和44.4%（χ2=6.984,χ2=7.013,P〈0.05）。18例患者检查后均未发生并发症。结论 输尿管镜活检术用于诊断不典型泌尿系结核,可有效提高患者的临床诊断准确率,且安全性高,值得在临床中推广和应用。
Objective To investigate the clinical value of diagnosis of atypical tuberculosis of urinary ureteroscopy biopsy technique. Methods 18 case of patients with atypical urinary tuberculosis December 2013 to December 2015 as research subjects, respectively ureteroscopy biopsy, urinary tract imaging and urinary sediment examination acid - fast bacilli again the implementation of diagnosis for patients, and diagnostic results of the three diagnostic methods were compared with pathologic diagnosis. Results The ureteroscopy biopsy positive rate was 77. 8% , significantly higher than the urinary system imaging, 50. 0% and 44.4% acid - fast bacilli urinary sediment examination （ Х^2 = 6 . 984 , Х^2 = 7. 013 , P 〈0. 05）. 18 cases of patients postoperative complications did not occur. Conclusion Ureteroscopy biopsy for diagnosis of atypical urinary tuberculosis ,which can effectively improve the clinical diagnostic accuracy in patients, and fewer complications, safety, deserve further promotion and application in clinical practice.
出处
《临床和实验医学杂志》
2016年第19期1951-1953,共3页
Journal of Clinical and Experimental Medicine
