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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
Objective To investigate the early diagnosis and reasonable treatment of epididymal tuberculosis. Methods 15 cases of unilateral epididymal tuberculosis confirmed by operation and pathology were retrospectively analyzed. Results Fifteen patients underwent pathological side epididymal resection, one case plus testicular excision. Twelve cases were preoperatively misdiagnosed as chronic epididymitis. Among them, 3 cases had sinus incision after operation, which was more effective after six months. Follow-up 9 months to 7 years without residual and recurrence of tuberculosis. Conclusion Epididymal tuberculosis is easily misdiagnosed as epididymitis; B-guided fine needle aspiration biopsy is helpful for the diagnosis of this disease; the treatment of the preferred drug anti-tonic, 3 months regular anti-tonic ineffective should be surgically treated, the vas deferens stump should be open to the skin, incision Try not to put drainage, continue to formal anti-tubal surgery