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目的对比超声与病理诊断睾丸结核的价值。方法搜集该院泌尿科2014年5月-2016年5月接受治疗的睾丸结核患者33例,先后进行术前超声检查及手术病理诊断,对两种检查方式的结果进行对照研究。结果33例病患均经手术病理检查确诊为睾丸结核,其中单侧睾丸发病17例,双侧睾丸发病16例;超声诊断睾丸结核的正确率为81.82%,低回声包块、混合回声包块、散在斑点状低回声区、局灶性片状低回声区四种类型的诊断正确率分别为75.00%、80.00%、75.00%、87.50%。结论术前超声诊断能对不同类型的睾丸结核进行较为准确的辨别,其诊断具有一定的临床参考价值,但还需根据患者的临床症状、表现及病史等进行综合检查,从而真正提高超声对睾丸结核的诊断正确率。
Objective To compare the value of ultrasound and pathology in the diagnosis of testicular tuberculosis. Methods Totally 33 cases of testicular tuberculosis were collected from Urology department of our hospital from May 2014 to May 2016. We performed preoperative ultrasonography and pathological diagnosis, and compared the results of the two examinations. Results Thirty-three patients were diagnosed as testicular tuberculosis by pathological examination, including 17 cases of unilateral testes and 16 cases of bilateral testis. The correct rate of ultrasonic diagnosis of testicular tuberculosis was 81.82%. The echogenic mass, mixed echogenic mass , Scattered speckle hypoechoic area and focal hypoechoic area were 75.00%, 80.00%, 75.00% and 87.50% respectively. Conclusion Preoperative ultrasound diagnosis of different types of testicular tuberculosis more accurate identification of its diagnosis has some clinical reference value, but also according to the patient’s clinical symptoms, performance and history of a comprehensive examination, so as to really improve the ultrasound testis The diagnostic accuracy of tuberculosis.