泌尿生殖系统结核感染175例分析。

IF 1 Q4 UROLOGY & NEPHROLOGY
Nuno Dias, Teresa Pina-Vaz, Pedro Abreu-Mendes, Tiago Azeredo-Costa, Pedro Rodrigues-Pereira, Carlos Silva, Francisco Botelho
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引用次数: 1

摘要

目的:泌尿生殖系统结核和影响泌尿生殖系统的播散性结核在发展中国家较为常见,但在发达国家却经常被忽视。我们的目的是比较泌尿生殖系统结核和影响泌尿生殖系统的播散性结核的临床特征和结果。材料和方法:我们回顾性回顾了2008年至2018年在欧洲国家三级医疗中心诊断的泌尿生殖系统结核病患者的数据。将病例分为泌尿生殖系统结核和影响泌尿生殖系统的播散性结核,并进行比较。结果:纳入172例患者,其中31例为泌尿生殖系统结核,141例为泌尿生殖系统弥散性结核。与泌尿生殖系统结核患者相比,播散性结核影响泌尿生殖系统的患者更年轻(中位年龄为45岁vs. 64岁,P= 0.001),更可能是男性(80比55%,P= 0.005),或具有该疾病的危险因素(84比23%,P= 0.005)。泌尿生殖系统结核患者最常见的症状是与尿路相关的症状,52%的患者主诉尿路感染引起的下尿路症状,48%的患者主诉排尿困难,而影响泌尿生殖系统的弥散性结核患者主要表现为全身性症状,89%的患者主诉不适,62%的患者主诉发热,57%的患者主诉厌食。泌尿生殖系统结核患者更有可能需要泌尿外科手术作为其治疗的一部分(71比5%,P < .001),而影响泌尿生殖系统的弥散性结核患者更有可能死于结核病(10比21%,P < .001)。结论:泌尿生殖系统结核具有多种临床表现,不存在简单的诊断算法。在注射吸毒者、免疫功能不受抑制的个体或有全身性症状的患者中出现泌尿生殖系统结核时,我们应该考虑影响泌尿生殖系统的播散性结核,并记住这些患者很少需要手术,但结果最差。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Review of 175 Cases of Tuberculosis Infections Affecting the Urogenital System.

Review of 175 Cases of Tuberculosis Infections Affecting the Urogenital System.

Objective: Urogenital tuberculosis and disseminated tuberculosis affecting urogenital system are more fre quent in developing countries but are often overlooked in developed ones. We aimed to compare clinical characteristics and outcomes of urogenital tuberculosis and disseminated tuberculosis affecting the urogeni tal system.

Material and methods: We retrospectively reviewed data from patients with tuberculosis in the urogenital system, diagnosed in a tertiary center in a European country, from 2008 to 2018. Cases were divided into urogenital tuberculosis and disseminated tuberculosis affecting the urogenital system and compared.

Results: We included 172 patients, 31 with urogenital tuberculosis and 141 with disseminated tuberculosis affecting urogenital system. Patients with disseminated tuberculosis affecting the urogenital system were younger (median 45 vs. 64 years, P=.001), more likely to be male (80 vs. 55%, P=.005), or having risk fac tors for the disease (84 vs. 23%, P=.005) than patients with urogenital tuberculosis. Patients with urogenital tuberculosis presented most commonly with symptoms related to the urinary tract, with 52% complaining of lower urinary tract symptoms attributed to urinary tract infections and 48% of dysuria, while patients with disseminated tuberculosis affecting the urogenital system presented mainly with systemic symptoms, with 89% complaining of malaise, 62% of fever, and 57% of anorexia. Patients with urogenital tuberculosis were more likely to need urological surgery as part of their treatment (71 vs. 5%, P < .001) and patients with dis seminated tuberculosis affecting the urogenital system were more likely to die due to tuberculosis (10 vs. 21%, P < .001).

Conclusion: Tuberculosis of the urogenital system can have multiple clinical presentations, and a simple diagnostic algorithm does not exist. In the presence of urogenital tuberculosis in injected drug users, immu nosuppressed individuals, or patients with systemic symptoms, we should think of disseminated tuberculosis affecting the urogenital system and remember these patients less frequently need surgery but entail a worst outcome.

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来源期刊
Turkish journal of urology
Turkish journal of urology Medicine-Urology
CiteScore
2.10
自引率
0.00%
发文量
53
期刊介绍: The aim of the Turkish Journal of Urology is to contribute to the literature by publishing scientifically high-quality research articles as well as reviews, editorials, letters to the editor and case reports. The journal’s target audience includes, urology specialists, medical specialty fellows and other specialists and practitioners who are interested in the field of urology.
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