Yang Dal Mo, Kim Hyun Cheol, Kim Sang Won, Lee Hyung Lae, Min Gyeong Eun, Lim Sung Jig
Department of Radiology, Kyung Hee University Hospital at Gangdong, 149 Sangil-Dong, Gangdong-Gu, Seoul 134-090, Korea. E-mail;
J Ultrasound Med. 2014 May;33(5):913-6. doi: 10.7863/ultra.33.5.913.
The purpose of this series was to describe the sonographic findings of tuberculous vasitis. We conducted a retrospective analysis of 3 cases of tuberculous vasitis. The following grayscale and color Doppler sonographic features were analyzed: location, echogenicity of the lesion, epididymal or testicular involvement, presence of hydrocele, and blood flow within the lesion. All 3 patients had focal (n = 2) or multifocal (n = 1) involvement of the scrotal segment of the vas deferens. The sonographic findings for tuberculous vasitis were heterogeneously hypoechoic in all of the cases. On color Doppler sonography, no blood flow was identified within the lesions of the vas deferens. All 3 patients had tuberculous epididymitis in addition to tuberculous vasitis. Tuberculous vasitis presents with infection along with tuberculous epididymitis, and it appears as a heterogeneously hypoechoic lesion in the scrotal segment of the vas deferens adjacent to the epididymal tail.
本系列研究的目的是描述结核性输精管炎的超声表现。我们对3例结核性输精管炎患者进行了回顾性分析。分析了以下灰阶和彩色多普勒超声特征：病变位置、病变回声、附睾或睾丸受累情况、鞘膜积液的存在以及病变内的血流情况。所有3例患者均有输精管阴囊段局灶性（n = 2）或多灶性（n = 1）受累。所有病例中，结核性输精管炎的超声表现均为不均匀低回声。在彩色多普勒超声检查中，输精管病变内未发现血流信号。除结核性输精管炎外，所有3例患者均患有结核性附睾炎。结核性输精管炎与结核性附睾炎同时出现感染，表现为附睾尾部附近输精管阴囊段的不均匀低回声病变。
