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目的探讨西藏地区泌尿、生殖系(男性)结核的临床表现特点和诊治经验。方法回顾性分析从2000年～2008年西藏自治区人民医院收治的179例泌尿、生殖系结核患者的临床资料。结果本组179例患者中因结核脓肾、肾自截、附睾睾丸结核皮肤破溃行手术+抗痨治疗者102例(56.8%),因肝功、肾功不全放弃治疗者24例(13.5%),其余患者行抗痨治疗(29.7%)。本组接受治疗的155例患者中随访到128例,失访率17.4%。随访时间6个月～7年,平均随访时间3.4年。其中单纯抗结核药物治疗者42例(79.2%),行手术+抗结核药物治疗者86例(67.2%)。结论西藏地区结核病患者就诊时多数病情已较为严重,手术切除器官的比例高,部分患者因结核引起肾功能不全。
Objective To investigate the clinical features, diagnosis and treatment of urinary and reproductive (male) tuberculosis in Tibet. Methods The clinical data of 179 cases of urinary and genital tuberculosis patients admitted to People’s Hospital of Tibet Autonomous Region from 2000 to 2008 were retrospectively analyzed. Results Of the 179 patients, 102 cases (56.8%) were treated with surgery + anti-tuberculosis due to tuberculous purulent tuberculosis, renal self-sectioning and epididymal testicular tuberculosis skin ulceration. Twenty-four patients (13.5% %), The remaining patients were treated with anti-tuberculosis (29.7%). Of the 155 patients treated in this group, 128 were followed up, with a rate of 17.4%. Follow-up time ranged from 6 months to 7 years with an average follow-up time of 3.4 years. Among them, 42 cases (79.2%) were treated with anti-tuberculosis drugs and 86 cases (67.2%) received operation + anti-tuberculosis drugs. Conclusion Most cases of tuberculosis patients in Tibet are seriously experiencing a serious illness at the time of diagnosis. The proportion of surgical resection organs is high, and some patients cause renal insufficiency due to tuberculosis.