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目的 :探讨男性生殖系结核的诊断与治疗。 方法 :对 15例经病原学或病理学证实的男性生殖系结核患者的诊断、鉴别诊断及治疗进行回顾性分析。 结果 :结合病史、体格检查、精液抗酸杆菌镜检或抗酸杆菌培养和手术标本病理检查可确诊。其中 ,1例为肾结核并发附睾、睾丸结核 ,1例为肾结核并发结核性精囊炎 ,8例为原发性单纯附睾结核 ,5例为原发性附睾、睾丸结核。 4例单纯抗结核药物治疗 ,11例手术治疗。 结论 :男性生殖系结核呈现非典型化趋势 ,精液TB PCR可能为男性生殖系结核的诊断提供了新的途径 ,必要时组织活检可确诊。手术治疗应慎重 ,尤其是对年轻患者。
Objective: To investigate the diagnosis and treatment of male genital tuberculosis. Methods: The diagnosis, differential diagnosis and treatment of 15 cases of male genital tuberculosis confirmed by pathogenicity or pathology were retrospectively analyzed. Results: Combined with medical history, physical examination, acid-fast bacilli microscopy or acid-fast bacilli culture and pathological examination of surgical specimens can be diagnosed. Among them, 1 case of renal tuberculosis complicated with epididymis, testicular tuberculosis, tuberculous tuberculous renal tuberculosis and 8 cases of primary simple epididymal tuberculosis, 5 cases of primary epididymal, testicular tuberculosis. 4 cases of pure anti-TB drug treatment, 11 cases of surgical treatment. Conclusion: The male genital tuberculosis presents an atypical tendency. Semen TB PCR may provide a new way for the diagnosis of male genital tuberculosis. If necessary, biopsy can be confirmed. Surgical treatment should be careful, especially for young patients.