附睾结核的超声诊断价值  

The Value of Ultrasonography for Diagnosis of Epididymal Tuberculosis

作　　者：张峰[1] 孙鹏涛[1] 沈嫱[1] 沈建红[1] 崔健嫦[1] 

机构地区：[1]广州中医药大学附属第二医院B超室,广东广州510120

出　　处：《广州医学院学报》2007年第6期49-51,共3页Academic Journal of Guangzhou Medical College

摘　　要：目的:探讨附睾结核超声声像图和血流特征。方法:收集本院怀疑为附睾结核36例患者的超声声像图,分析图像的内部回声,彩声多普勒超声征象,经实验室检查、病理确诊,并分析确诊患者的发病部位及合并症。结果:附睾结核多发生在尾部,图像呈强、中、低、混合回声,常向睾丸侵犯,合并寒性脓肿。本组阳性预测值、灵敏度、特异度、准确度分别为84.61%,91.67%,66.67%,83.33%。结论:超声对附睾结核的诊断有重要价值。Objective： To summarize the ultrasonographic characteristics and blood flow patterns in epididymal tuberculosis. Methods： Thirty-six cases clinically suspected to have epididymal tuberculosis underwent uhrasonography. All these patients were subsequently confirmed by pathology or culture for Mycobacterium tuberculosis. Features of ultrasonic echos and blood flow, sites of lesion and complications were analyzed. Results： Epididymal tuberculosis mostly occurred at the tail of the epididymis. The echo pattern could be varied ： hyperechoic, iso-echoic, hypoechoic, or mixed. The lesions frequently involved the testicles with complicating cold abscess. The rates of positive prediction, sensitivity, specificity and accuracy by uhrasonograpy in the diagnosis of epididymal tuberculosis were 84.61% , 91.67% , 66.67% and 83.33% , respectively. Conclusion： Uhrasonography may have an important role in diagnosing epididymal tuberculosis.

关 键 词：附睾结核 超声检查 诊断 

分 类 号：R527.4[医药卫生—内科学]