强化抗结核治疗联合手术病灶切除对附睾结核诊治观察

Clinical Observation of Intensive Anti-tuberculosis Therapy Combined with Surgical Resection in Treatment of Epididymal Tuberculosis

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。

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.