泌尿系结核-上海第二医科大学附属瑞金医院课件.pptVIP

Tuberculosis(TB) of the Genitourinary Tract泌尿生殖系结核 瑞金医院泌尿外科 邵 远 Urinary TB A disease of young adults. 60% between 20~40y. Infecting organism — Mycobacterium tuberculosis (结核分支杆菌，结核杆菌), Tubercle bacilli Infecting Route(感染途径) Hematogenous route(血行途径) from the lungs. Primary sites(初发部位): Kidney, Prostate (前列腺) Other organs involved: direct extension Pathogenesis(发病机理) Tubercle bacilli hit the renal cortex(肾皮质): ?Normal resistance(抵抗力): organism destroyed ?Sufficient virulence(致病力): clinical infection established. Pathogenesis TB of kidney: pr