附睾结核的超声检查和病理诊断的分析研究

Ultrasound examination and pathological diagnosis of tuberculosis of epididymis

目的进行附睾结核超声表现与病理诊断的对照分析。方法回顾性分析天津市海河医院2013年6月-2016年8月临床拟诊附睾结核且接受病理检查病例的局部超声声像特点。结果调查期间该院病理科共收集临床拟诊附睾结核病例1 5例,其中9例表现为低回声血流信号丰富型,本类型与病理诊断符合率6 6.7%(6/9);3例表现为低回声血流信号弱或无型,本类型与病理诊断符合率66.7%(2/3);3例表现为强回声无血流信号型,本类型与病理诊断符合率66.7%(2/3)。经病理确诊的临床拟诊附睾结核患者中,有1例(1 0.0%)同时存在肺结核,5例(50.0%)同时存在泌尿系结核。同时,在未经病理证实的临床拟诊患者中,同时有2例(40.0%)同时存在肺结核,1例(20.0%)同时存在泌尿系结核。结论结合超声和病理检查对确诊附睾结核十分重要,有利于尽早、充分抗结核治疗。

Objective To comparative study the ultrasound and pathological diagnosis of epididymis tuberculosis. Methods All clinically suspected epididymal tuberculosis cases who accepted histological diagnosis were collected from June of 2013 to August of 2016 in Tianjin Haihe Hospital. Their ultrasonic characters were reviewed. Results During the investigation,15 patients suspected epididymis tuberculosis were collected and were tested pathologically. 9 of them were found with low echo doppler and rich blood flow signal,66.7% of which were identified by pathological inspection;3 cases were showed low echo and weak/none blood flow signal,and 3 cases showed a strong echo without blood flow signal,66.7% of which were identified pathologically. Among the patients pathologically diagnosed as epididymal tuberculosis,1（10.0%）was pulmonary tuberculosis and 5（50.0%）were urinary tuberculosis. At the same time,2 cases（40.0%）were diagnosed as pulmonary tuberculosis and 1 case（20.0%）was diagnosed as urinary tract tuberculosis in the patients which has clinical features but no pathological changes in local. Conclusion It is essential to provide early and sufficient anti-tuberculosis treatment by integration of ultrasound and pathological inspection.