What examination should kidney tuberculosis do

summary

This disease of renal tuberculosis must be no stranger to you. Our country is also actively preventing the occurrence of this disease on this issue. Therefore, we should also do a good job in prevention at ordinary times. Let's talk about what examination should be done for renal tuberculosis.

What examination should kidney tuberculosis do

First: urine routine about 90% of patients can find abnormal urine, urine is generally acidic. Microscopic pyuria and hematuria are the most common, with a small amount of urinary protein. Urine routine examination is an important clue for early screening of renal tuberculosis. Therefore, the vulva and urethral orifice should be cleaned to avoid contamination when collecting urine samples, and all anti tuberculosis drugs should be stopped one week before the examination, so as to improve the positive rate of urine test.

Second: imaging examination, although the diagnosis of renal tuberculosis can be confirmed by the detection of Mycobacterium tuberculosis in urine, the specific location of the lesion, the size of the scope, unilateral or bilateral and the choice of treatment options depend on further imaging examination. Plain film of urinary system can be used to observe the contour, size, position of both kidneys, the image of psoas major muscle, and whether there are stones, calcification or foreign bodies in kidney, ureter and bladder.

Third: urine tuberculosis culture is an important basis for the diagnosis of renal tuberculosis, and can be used for bacterial resistance monitoring. It is generally believed that morning urine is better than 24h urine, because morning urine is easy to collect and has less chance of pollution. However, due to the intermittent excretion of tuberculosis bacteria into the urine, the positive rate can reach 80% - 90% by leaving at least 3 days of morning urine for tuberculosis culture before the application of anti tuberculosis treatment.

matters needing attention

Therefore, once you find that you have the symptoms of suspected renal tuberculosis disease, you should go to the hospital for examination in time, and then confirm whether you really suffer from this disease through the examination results. If so, you should find and treat the disease as early as possible and apply the right medicine to the case.