男性生殖系统结核的诊断与治疗
[Diagnosis and treatment of tuberculosis in the male genital system].
作者信息
Shen Zhoujun, Wang Hua, Chen Shanwen, Shi Shifang, Chen Zhaodian, Wei Kexiang, Zhang Zhigen, Zhu Xuanwen, Cai Songliang
机构信息
Department of Urology, First Affiliated Hospital, Zhejiang University Medical College, Hangzhou, Zhejiang 310003, China.
出版信息
Zhonghua Nan Ke Xue. 2004 May;10(5):376-7, 381.
OBJECTIVE
To probe into and improve the diagnosis and treatment of tuberculosis (TB) in the male genital system.
METHODS
Fifteen patients with the male genital system TB established by microbiological and pathological examinations were retrospectively reviewed.
RESULTS
The male genital system TB was diagnosed by history, physical examination, semen analysis, TB culture and biopsy. Treatment consisted of antituberculous chemotherapy for all the patients before and/or after operation, including 5 cases of epididymectomy and 6 cases of orchi-epididymectomy.
CONCLUSION
The male genital system TB tends to be atypical and semen polymerase chain reaction of TB (TB-PCR) may provide a new specific means for diagnosis in case of clinical suspicion. Surgical approaches should be cautiously adopted, especially for young patients.
目的
探讨并改进男性生殖系统结核病的诊断与治疗。
方法
回顾性分析15例经微生物学及病理学检查确诊为男性生殖系统结核的患者。
结果
通过病史、体格检查、精液分析、结核培养及活检诊断男性生殖系统结核。所有患者在手术前和/或手术后均接受抗结核化疗，其中5例行附睾切除术，6例行睾丸-附睾切除术。
结论
男性生殖系统结核往往不典型，结核菌素聚合酶链反应（TB-PCR）可能为临床疑似病例提供一种新的特异性诊断方法。应谨慎采用手术方法，尤其是对年轻患者。
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