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目的探讨超声检查在肾结核诊断中的价值。方法回顾性分析70例肾结核患者声像图特征和临床资料。结果 70例肾结核超声诊断正确53例,准确率为75.7%,误诊13例,漏诊4例;肾结核超声声像图主要表现为不同程度肾积水、肾囊样变、肾萎缩、肾钙化等;根据声像图表现和病理演变,将肾结核细分为以下7个类型:结节型,占5.7%;囊肿型,占11.4%;积水扩张型,占34.3%;积脓型,占12.8%;萎缩型,占17.1%;钙化型,占8.5%;混合型,占10.0%。结论超声检查对肾结核的诊断及临床分型具有重要价值,根据肾结核的病理演变及超声表现对肾结核的临床分型、临床诊断及治疗具有重要意义。
Objective To investigate the value of ultrasonography in the diagnosis of renal tuberculosis. Methods A retrospective analysis of 70 cases of renal tuberculosis patients with ultrasonographic features and clinical data. Results The diagnostic accuracy of renal tuberculosis in 70 cases was correct in 53 cases, the accuracy was 75.7%, misdiagnosis in 13 cases and misdiagnosis in 4 cases. The ultrasonographic findings of renal tuberculosis mainly showed hydronephrosis, nephrotic transformation, renal atrophy and renal calcification According to the sonographic findings and pathological changes, renal tuberculosis was subdivided into the following seven types: nodular, accounting for 5.7%, cyst type, accounting for 11.4%, hydronephrosis, accounting for 34.3%, suppurative, Accounting for 12.8%; atrophic type, accounting for 17.1%; calcified type, accounting for 8.5%; mixed type, accounting for 10.0%. Conclusion Ultrasonography is of great value in the diagnosis and clinical classification of renal tuberculosis. It is of great importance to the clinical classification, clinical diagnosis and treatment of renal tuberculosis according to the pathological changes and ultrasonographic manifestations of renal tuberculosis.