Objective To analyze the clinical characteristics of isolated tuberculous epididymitis and improve its diagnosis and treatment. Methods A retrospective case study on clinical data of patients with epididymal tuberculosis was carried out in the study during the period of 2000-2009. Results The mean age was 38.5 years. Mean duration of symptoms was 6.5 months. 54 cases was unilateral, bilateral in 14 cases, the vast majority present the ipsilateral scrotal swelling (60.3%), acute testicular-epididymitis accounted for 10.2%, 29.4%painless scrotal mass. 12 patients (17.6%) of all patients has a scrotal fistula, Hematospermia in 4 cases (5.9%), and infertility accounted for 36.8%(25 cases) . All patients is no systemic symptoms and has a scrotal mass, 27 patients with ipsilateral vas deferens thickening beaded;Ultrasonic imaging showed specific acoustic shadow;All patients underwent anti-TB treatment, 26 cases of anti-TB+surgical resection, and confirmed by pathological examination. Conclusion Isolated tuberculous epididymitis is the most common form of genitourinary tuberculosis. The treatment of choice is primarily medical, consisting of a combination of three or four anti-TB drugs, sometimes combined with surgery for large scrotal abscesses.% 目的探讨单纯性附睾结核的临床特征及诊治.方法回顾性分析本院2000年1月至2009年12月收治的68例附睾结核病例的临床资料.结果本组患者平均年龄38.5岁,平均病史6.5个月,其中单侧54例,双侧14例,绝大多数表现为患侧阴囊肿胀占60.3%,急性睾丸-附睾炎者占10.2%,无痛性阴囊肿块者占29.4%.所有患者中12例(17.6%)有阴囊瘘表现,4例(5.9%)有血精表现,25例(36.8%)出现不育.全部患者无结核中毒症状,均可触及阴囊内包块,27例同侧输精管增粗呈串珠状；B超可见特异性声影；全部患者均行抗结核治疗,26例行抗结核+手术切除,并经病理检查证实.结论单纯性附睾结核是泌尿生殖道最常见的结核病变之一,其主要的治疗选择是联合应用3种或4种抗结核药物治疗.对较大阴囊脓肿的患者在抗结核治疗无效时应果断手术切除.
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