在一定的病理情况下,用部分肾切除来治疗肾结核症的结果是比較滿意的(氏,1960)。近年来由于患者就診早,早期腎結核症(泌尿系统结核症)确诊者日多,病变一般輕微。过去作为主要治疗手段的腎切除术之适应征逐渐减少(氏1956,氏1960),而抗菌素和化学疗法的应用范围則相对地日益扩大。Nesbit氏1953,Lattimer氏等1956、1959)对早期泌尿系统結核症患者一律地长期使用药物治疗。临床上确有不少早期患者(渗出型肾結核症)經一定时期的药物治疗后痊癒,但是,病变发展之自然趋势或药物作用后发生之局部病变纤維化或梗阻形成(腎盞,腎盂或输尿管之任何部位)的后果严重地影响药物的作用。如纤維化或梗阻发生于輸尿管下端,尚可于 Under certain pathological conditions, partial nephrectomy for the treatment of renal tuberculosis results are more satisfactory (1960’s). In recent years, due to early treatment of patients, early diagnosis of renal tuberculosis (urinary tract tuberculosis) more and more lesions generally mild. The use of nephrectomy as a primary treatment has diminished in the past (1956, 1960), while the use of antibiotics and chemotherapy has been relatively widened. Nesbit’s 1953, Lattimer et al 1956, 1959) used long-term medical therapy for patients with early urinary tract tuberculosis. There are indeed many early clinical patients (exudative renal tuberculosis) after a period of drug treatment recovered, however, the natural tendency of the development of the disease or drug-induced local lesions fibrosis or obstruction (calyx, renal pelvis Or any part of the ureter) can seriously affect the effects of the drug. Such as fibrosis or obstruction occurred in the lower ureter, still available