进修医生:教授,病区内刚收进一位肾结核病人,请谈谈肾结核的情况好吗? 教授:肾结核是由结核杆菌引起的肾感染。其感染途径主要是体内结核病灶中的结核菌经血流播散至肾脏。原发病灶多在肺部,其次为附睾、女性生殖器附件、骨关节和淋巴结。开始时在双侧肾皮质引起粟粒性结核病灶。以后经肾小管侵犯髓质,形成结核性肉芽肿。常潜伏多年后才发生干酪化而扩散。故肾结核出现症状时,肺结核多已愈合。由于双肾病灶的发 Training Doctors: Professor, ward just received a kidney tuberculosis patients, please talk about the situation of renal tuberculosis? Professor: Renal tuberculosis is caused by Mycobacterium tuberculosis kidney infection. The main route of infection is the tuberculosis in vivo tuberculosis in the bloodstream spread to the kidneys. Primary lesions in the lungs, followed by epididymis, female genital attachment, bone and joint and lymph nodes. Initially caused by bilateral renal cortex miliary tuberculosis. Subsequent tubulointerstitial tuberculoma, the formation of tuberculous granuloma. Often latent for many years after cheese and spread. Therefore, symptoms of renal tuberculosis, tuberculosis and more have healed. Due to the development of renal lesions