Clinical Observation of Intensive Anti-tuberculosis Therapy Combined with Surgical Resection in Treatment of Epididymal Tuberculosis
LI Zhi-hua,YU Mao-heng,YE Jin,DU Zhong-zhen
Tianjin Haihe Hospital, TCM Key Research Laboratory for Infectious Disease Prevention for State Administration of Traditional Chinese Medicine, Tianjin (300350), China
Abstract:
Objective To explore the experience of diagnosis and treatment of epididymal tuberculosis. Methods Fifty-three patients with epididymal tuberculosis were selected from January 2001 to March 2018 in Tianjin Haihe Hospital. All patients were treated with intensive anti-tuberculosis therapy, namely rifampicin, isoniazid or ethambutol. The lesions were given after 2–4 weeks, the epididymal tuberculosis lesions were removed during the operation, and routine anti-tuberculosis treatment was given after surgery for 6 to 9 months. The treatment effect was summarized. Results Twenty-eight patients recovered well after surgery and were cured and discharged. During the follow-up of 8 months, 24 patients had no abnormalities. Three patients had urinary tuberculosis infection at 1 month, 3 months, and 8 months after surgery, and 1 patient had contralateral side epididymal tuberculosi at 8 months after operation. Conclusion For epididymal tuberculosis, timely treatment with surgery can achieve a good prognosis.
