| 摘要: |
| 目的：探析附睾结核诊治体会。方法：选取天津市海河医院 2001 年 1 月—2018 年 3 月期间 53 例附睾结核患者为观察对象，均给予利福平、异烟肼或者乙胺丁醇强化抗结核治疗，2~4 周后予以病灶切除术治疗，术中均给予附睾结核病灶清除，术后继续给予 6 ～ 9 个月常规抗结核治疗，总结分析患者治疗效果。结果：28 例患者术后恢复良好，均治愈出院。随访 8 个月，24 例患者无异常情况，3 例患者分别在术后 1 个月、3 个月、8 个月时出现泌尿系结核感染，1 例患者在术后8 个月时出现对侧附睾结核。结论：对于附睾结核而言，强化抗结核治疗后及时给予手术治疗，可取得良好的预后。 |
| 关键词: 附睾结核 诊断 强化抗结核治疗 手术 |
| DOI：10.3969/j.issn.1007-6948.2019.04.027 |
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| 基金项目:天津市卫生局科技基金（2012KZ032） |
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| Clinical Observation of Intensive Anti-tuberculosis Therapy Combined with Surgical Resection in Treatment of Epididymal Tuberculosis |
| LI Zhi-hua,YU Mao-heng,YE Jin,DU Zhong-zhen |
| Tianjin Haihe Hospital, TCM Key Research Laboratory for Infectious Disease Prevention for State Administration of Traditional Chinese Medicine, Tianjin (300350), China |
| Abstract: |
| Objective To explore the experience of diagnosis and treatment of epididymal tuberculosis. Methods Fifty-three patients with epididymal tuberculosis were selected from January 2001 to March 2018 in Tianjin Haihe Hospital. All patients were treated with intensive anti-tuberculosis therapy, namely rifampicin, isoniazid or ethambutol. The lesions were given after 2–4 weeks, the epididymal tuberculosis lesions were removed during the operation, and routine anti-tuberculosis treatment was given after surgery for 6 to 9 months. The treatment effect was summarized. Results Twenty-eight patients recovered well after surgery and were cured and discharged. During the follow-up of 8 months, 24 patients had no abnormalities. Three patients had urinary tuberculosis infection at 1 month, 3 months, and 8 months after surgery, and 1 patient had contralateral side epididymal tuberculosi at 8 months after operation. Conclusion For epididymal tuberculosis, timely treatment with surgery can achieve a good prognosis. |
| Key words: Simple epididymal tuberculosis diagnosis intensive anti-tuberculosis treatment surgery |
