目的 探讨泌尿生殖系统结核的临床特点。 方法 对2006年5月-2011年5月住院确诊为泌尿生殖系统结核的83例患者,总结分析其临床特点、诊疗情况。 结果 患者病程平均3.2年,临床特征多为尿路刺激症状、肾区疼痛及尿检异常等,尿抗酸杆菌阳性率仅6.67%,诊断困难。器官功能受损重,手术比例高达44.58%。 结论 泌尿生殖系统结核虽发病率逐年下降,但临床表现缺乏特异性,常延误诊断治疗。注重对该疾患临床资料的全面收集和深入分析,对提高诊疗水平有重要意义。
【摘要】 目的 探讨超声检查对阴道斜隔综合征的诊断价值,分析超声图像特点,提高诊断率,为临床选用最佳的手术方式提供依据。 方法 回顾性分析2008年1月-2010年6月经手术确诊为阴道斜隔综合征的15例患者的临床资料及超声检查结果,总结阴道斜隔综合征的声像图特点。 结果 15例经临床确诊为阴道斜隔综合征的患者,超声诊断14例,均表现为双子宫、双宫颈、阴道或宫颈积液/血,9例左肾缺如,5例右肾缺如。误诊1例,为单子宫伴一侧附件巨大囊肿。 结论 超声具有诊断准确、简便、无创、重复性好、价格实惠等优点,对于临床诊断生殖系统畸形具有十分重要的意义,应列为首选检查方式。【Abstract】 Objective To investigate the diagnostic value of ultrasonography in examining oblique vaginal septum syndrome, analyze the characteristics of ultrasound image to improve the ultrasound diagnosis rate, in order to provide guidance for clinical surgeries. Methods We retrospectively analyzed the clinical data and ultrasound examination results of 15 patients diagnosed to have oblique vaginal septum syndrome in our hospital, and summarized their ultrasonographic characteristics. Results Among the 15 patients, 14 were diagnosed to have the disease by ultrasound examination. The ultrasound image showed a double uterus, double cervix, and vaginal or cervical fluid or blood for all the patients among whom 9 had absent left kidney, and 5 had absent right kidney. One patient was misdiagnosed to have single uterus with giant cysts on one side. Conclusions Ultrasound diagnosis is simple, noninvasive, reproducible, affordable and accurate in diagnosing. It is very useful in clinical diagnosis of reproductive system abnormalities and should be listed as the preferred way of examinations.