本文报告了131例肾结核,并对其早期诊断进行探索。指出肾结核早期诊断不易,在尸解中,仅20％生前能作出诊断,本组病者就诊后的第一个诊断为肾结核者仅6.1％,常于第一个症状出现一年后,才获得诊断（72％）。但鉴于如能早期诊断和治疗,则疗效很好,每不需要手术处理,故应力争早期诊断。据本组材料,在下述情况时,应警惕肾结核的可能性:（1）不明原因的血尿;（2）不明原因的脓尿;（3）尿路感染经合 This article reports 131 cases of renal tuberculosis, and to explore its early diagnosis. Pointed out that the early diagnosis of renal tuberculosis is not easy, in the autopsy, only 20% of the lifetime can make a diagnosis of this group of patients after the first diagnosis of renal tuberculosis was only 6.1%, often in the first symptom after one year, Was diagnosed (72%). However, given the early diagnosis and treatment, the effect is very good, each without the need for surgical treatment, it should strive for early diagnosis. According to this group of materials, the possibility of renal tuberculosis should be observed in the following circumstances: (1) unexplained hematuria; (2) unexplained pyuria; (3) urinary tract infection