布鲁氏菌性睾丸附睾炎的临床与MRI诊断  

Clinical and MRI diagnosis of brucellosis orchiepididymitis

作　　者：王艳 刘文亚 杨豫新 Wang Yan;Liu Wenya;Yang Yuxin(Department of Radiology, Sixth People' s Hospital of Xinjiang Uygur Autonomous Region, Urumqi, 830001, China)

机构地区：[1]新疆维吾尔自治区第六人民医院放射科,新疆乌鲁木齐830001 [2]新疆医科大学第一附属医院影像中心,新疆乌鲁木齐830054

出　　处：《中国中西医结合影像学杂志》2019年第4期369-371,共3页Chinese Imaging Journal of Integrated Traditional and Western Medicine

基　　金：新疆维吾尔自治区面上项目基金（2017D01A65）;新疆维吾尔自治区第六人民医院2018年度院内科研课题项目基金（QLY-KY-2018004）

摘　　要：目的:探讨布鲁氏菌病引起的睾丸附睾炎的临床及MRI特点,以提高对其认识,减少误诊.方法:回顾性分析临床诊断明确的26例布鲁氏菌性睾丸附睾炎的MRI图像,分析归纳其特点.结果:本组26例单侧发病23例,临床症状以发热、盗汗及睾丸附睾肿胀、疼痛为主.MRI表现为睾丸附睾体积增大,实质信号不均匀,病变区T1WI呈低信号,形成脓肿后边缘可见环绕的等低信号壁,T2WI及STIR序列以混杂高信号为主,边缘壁光滑,增强扫描实质区明显强化,坏死区呈环形厚壁强化-脓肿形成;鞘膜腔积液并多发菲薄分隔,增强扫描分隔轻度强化.结论:布鲁氏菌性睾丸附睾炎以急性期发病并累及单侧为主,MRI对及其早期检出及诊断具有优势.Objective:To explore brucellosis orchiepididymitis in MRI findings. Methods:MRI features of 26 patients with brucellosis orchiepididymitis were retrospectively arranged and analyzed. Results: In the collected 26 cases, 23 cases were unilateral ,3 cases were lateral, and the clinical symptoms were fever, night sweats, testicular and/or epididymal swelling and pain. The MRI examination showed increased testicular and/or epididymal volume, lesions signal was heterogeneous. T1WI showed a low signal,T2WI and STIR showed high signal,surrounded by an equal low signal wall after abscess formation,sometimes,hydrocele in the tunica vaginalis and formed many thin separates. Conclusion: Brucellosis orchiepididymitis are at the acute stage and unilateral lesions mostly, and MRI has advertanges of the early detection and diagnosis.

关 键 词：布鲁杆菌病 睾丸附睾炎 磁共振成像 诊断 

分 类 号：R516.7[医药卫生—内科学] R697.22[医药卫生—临床医学] R445.2