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前列腺结核在泌尿系结核范围内处于一种特殊地位,因它在临床上没有症状,诊断很不容易,也难于治疗,特别前列腺有空洞病变时,更是如此。确立前列腺结核这个诊断,要在触诊时发现有钙化样硬结、表面不平或不寻常变软,带有波动感;尿道造影发现尿道旁具有间隙;前列腺按摩液检查有结核杆菌。组织学方面的诊断,仅在需要穿刺前列腺来排除恶性变时,才予以考虑。作者从1950到1973年统计了2038泌尿系结核患者,其中有1243为男性,335(27%)为前列腺结核。20%从临床上、X线检查及组织学方面证实为前列腺结核的病人(前列腺按摩液的检查中都发现有结核杆菌),虽然经利福平和乙胺丁醇的治疗,尿液或尿道分泌物的检查仍无明显转变。这些病人都可排除有肾或付睾的结核,
Prostate tuberculosis in the urinary tract tuberculosis in a special position, because it is clinically no symptoms, the diagnosis is not easy, it is difficult to treat, especially when there is empty prostate lesions, even more so. The diagnosis of prostate tuberculosis established in the palpation to find calcific-like sclerosis, uneven surface or unusual soft, with a sense of volatility; urethral catheterization found gaps with the urethra; prostate massage check tuberculosis bacteria. Histological diagnosis, only need to puncture the prostate to rule out malignant changes before they are taken into account. The authors counted 2038 patients with urinary tuberculosis from 1950 to 1973, of whom 1243 were men and 335 (27%) were prostate tuberculosis. 20% clinically, X-ray and histologically confirmed as prostate tuberculosis patients (prostate massage fluid were found in Mycobacterium tuberculosis), although the treatment of rifampicin and ethambutol, urine or urethral secretion The inspection of the material still no significant change. These patients can rule out tuberculosis with kidney or coxswain,