Gueye S M, Ba M, Sylla C, Ndoye A K, Fall P A, Diaw J J, Mensah A
Clinique Urologique, CHU Aristide Le Dantec, Dakar, Sénégal.
Prog Urol. 1998 Apr;8(2):240-3.
To define the epidemiological, anatomical, clinical and therapeutic aspects of tuberculous epididymitis in adults in the tropics.
This was a retrospective study of 11 cases of confirmed and treated tuberculous epididymitis.
The most frequently affected age-group was 40-49 years. The commonest expression was that of a chronic epididymal nodule. The diagnosis was confirmed by histological examination of the epididymectomy specimen (10 cases) and bacteriology in one case. Combination antituberculous chemotherapy was systematically administered and epididymectomy was performed in all patients.
The diagnosis of tuberculous epididymitis is often very difficult in the absence of a history of recent or active tuberculosis. However, this diagnosis must be considered in any case of chronic epididymal nodule, particularly in a context of infertility. The very mutilating treatment consists of epididymectomy in chronic forms, which also constitutes a diagnostic confirmation procedure, hence the value of prevention based on eradication of tuberculosis.
明确热带地区成人结核性附睾炎的流行病学、解剖学、临床及治疗方面的情况。
这是一项对11例确诊并接受治疗的结核性附睾炎病例的回顾性研究。
最常受累的年龄组为40 - 49岁。最常见的表现是慢性附睾结节。通过附睾切除标本的组织学检查确诊10例，1例通过细菌学确诊。所有患者均系统地接受了抗结核联合化疗，并进行了附睾切除术。
在没有近期或活动性结核病史的情况下，结核性附睾炎的诊断通常非常困难。然而，对于任何慢性附睾结节病例，尤其是在不育的情况下，都必须考虑这一诊断。对于慢性形式的治疗极具致残性，包括附睾切除术，这也构成了一种诊断性确认程序，因此基于根除结核病的预防具有重要意义。
