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。
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.
出处
《中国防痨杂志》
CAS
1999年第1期26-27,共2页
Chinese Journal of Antituberculosis
关键词
诊断
治疗
附睾结核
Tuberculosis,epididymal Diagnosis Treatment
