附睾结核的诊断与治疗(附15例分析)

中国防痨杂志 ›› 1999, Vol. 21 ›› Issue (1): 26-27.

附睾结核的诊断与治疗(附15例分析)

王国耀¹；薄隽杰²；谢世瑛¹；沈志久¹；蒋军辉¹；

1 宁波市第一医院泌尿外科；2 上海第二医科大学附属仁济医院泌尿外科；

收稿日期:1998-07-22 修回日期:1998-11-09 出版日期:1999-01-10 发布日期:1999-01-10

Diagnosis and treatment of epididymal tuberculosis(analysis of 15 cases)

Wang Guoyao,Bo Junjie,Xie Shiying,et al.

Depertment of Urology,The First Hospital of Ningbo,Ningbo 315010

Received:1998-07-22 Revised:1998-11-09 Online:1999-01-10 Published:1999-01-10

摘要/Abstract

摘要： 目的探讨附睾结核早期诊断与合理治疗?方法对15例经手术和病理证实的单侧附睾结核进行回顾性分析?结果15例均行病侧附睾切除,1例加作睾丸切除?12例术前误诊慢性附睾炎,其中3例术后切口窦道形成,抗痨半年后愈?随访9月~7年无结核残留与复发?结论附睾结核易误诊附睾炎;B超引导下细针穿刺活检有助于本病诊断;治疗首选药物抗痨,3个月正规抗痨无效者宜手术治疗,输精管残端须向皮肤敞开,切口尽量不放引流,术后继续正规抗痨。

关键词: 结核.附睾, 诊断, 治疗

Abstract: Objective To study the early diagnosis and reasonable treatment of tuberculous epididymitis.Methods Retrospective analysis of 15 cases of one side tuberculous epididymitis which were confirmed by surgery and pathology. Results Epididymectomy was conducted in 15 and additional orchiectomy in 1.Before surgery 12 cases were misdiagnosed as chronic epididymitis.After surgery sinus was formed in 3 which were cured by anti TB therapy for one half year.No recurrence and remnant of tuberculous was found after 9 months to 7 years follow up.Conclusions tuberculous Epididymitis was easily misdiagnosed as epididymitis.It is helpfull for diagnosis of epididymitis tuberculous by ultrasonographically guided fine needle pucture.Anti TB chemotherapy is the first choice.Operation may be indicated if anti TB therapy is not effective.The remnant of vas deferens must be opened widely on the skin.The incision is not to be drained.Anti TB therapy must be continued after surgery.

Key words: Tuberculosis, epididymal, Diagnosis Treatment

王国耀, 薄隽杰, 谢世瑛, 沈志久, 蒋军辉, . 附睾结核的诊断与治疗(附15例分析)[J]. 中国防痨杂志, 1999, 21(1): 26-27.

Wang Guoyao,Bo Junjie,Xie Shiying,et al.. Diagnosis and treatment of epididymal tuberculosis(analysis of 15 cases)[J]. Chinese Journal of Antituberculosis, 1999, 21(1): 26-27.

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