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例1 女,37岁.因左肾结核行左肾切除术3年.术后连续抗痨治疗,仍长期出现尿频、尿急和尿痛,尿时左下腹牵拉样疼痛,间断终未血尿,尿实验室检查:蛋白+,WBC++,RBC+～(?).B超和IVP除外现存肾结核及率缩膀胱.尿抗酸杆菌(一),尿培养(一).1988年11月12日在硬膜外麻醉下行左侧残留输尿管切除术,切除长度12cm.术中见输尿管下端狭窄,其上部增粗、僵硬,周围粘连.术后切口一期愈合,病理报告为输尿管结核.继续抗痨治疗3月,症状完全消失,尿检验正常.随访5年无复发.
Case 1 Female, 37 years old Left nephrectomy for left renal tuberculosis for 3 years Continuous postoperative anti-tuberculosis treatment is still frequent urination, urgency and dysuria, pain in the left lower quadrant during pull-down pain, discontinuity and hematuria Urine laboratory tests: protein +, WBC ++, RBC + ~ (?). Except B-and IVP existing renal tuberculosis and shrinkage of the bladder. Acid-fast acid bacilli (a), urine culture Left epidural anesthesia in the left residual ureter resection, resection length 12cm. See intraoperative ureteral stenosis, the upper thickening, stiff, around the adhesions .After incision healed, the pathology report for ureteral tuberculosis continue anti-tuberculosis Treatment of March, the symptoms disappeared completely, urine test was normal. No recurrence of 5-year follow-up.