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신장 및 요로계 결핵의 임상적 고찰 |
한규희 , 이용철 , 박태선 , 박성광 , 강성귀 , 김민철 , 송주홍 |
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Abstract |
Tuberculosis (Tbc) involves not only lung but also other organs of body, especially kidney & urinary tract. Clinical analysis were made by authors on 26 cases of kidney & urinary tract Tbc who were admitted to the Dept. of Int. Med. Of above 3 Hospital during period from Jan. 1985 to April 1989, and following results were obtained. Most common age group was 20s & 30s (57.8%), and male to female was 1: 1.2. The lesion site involved right 38.5%, left 42.3% and both side 19.2%, gross hematuria 26.9%, and dysuria 19.2%. Symptom duration prior to admission was 0-6 ms. 46.2%, 2-5 yrs. 23.1%, and over 5 years 23.1%. The most commonly involved organ combined with the kidney & urinary tract Tbc was the lung (50.0%). Urinalysis revealed hematuria 73.1%, pyur- ia in 73.1%, and AFB stain possitive 50.0% Non or delayed visualization of kidney in IVP was 30. 7%, pelvocaliceal dilatation or destruction in 26.9%, irreguarity of ureter dilatation in 26.9%, hydronephrosis in 23.1%. Since kidney is frequently involved in pulmonary Tbc, lung Tbc should be treated intensively. |
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