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目的总结输精管结核的超声造影表现,探讨其诊断价值。方法对15例经手术及病理或分泌物涂片证实的输精管结核患者的超声造影声像图,进行回顾性分析及总结。结果根据不同声像图表现分为四型:均匀增强型、结节均匀增强型、结节不均匀增强型及混合型。结论输精管管壁结构破坏、干酪样坏死及血管的破坏和增生是输精管结核超声造影不同表现的病理基础。超声造影在输精管结核的诊断中具有一定优势,为其诊断提供了一种客观、有效的方法 。
Objective To summarize the manifestations of vas deferens tuberculosis and discuss its diagnostic value. Methods The echocardiographic images of 15 patients with vasectomy confirmed by surgery and pathology or secretions smears were retrospectively analyzed and summarized. Results according to different sonographic performance is divided into four types: uniform enhancement, uniform enhancement of nodules, nodules uneven enhancement and mixed type. Conclusions The destruction of vas deferens wall structure, caseous necrosis and vasoconstriction and hyperplasia are the pathological basis of different manifestations of vas deferens tuberculosis. Contrast ultrasound in the diagnosis of vas deferens tuberculosis has certain advantages, provides an objective and effective method for its diagnosis.