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阴茎结核比较罕见,在泌尿生殖系结核中约占1%。国内迄今报告19例。我们诊治二例报告如下:例1,男,20岁。3个月前龟头背侧发现硬结,黄豆大小,20天龟头左侧发现硬结,绿豆大小,稍痛肿分别于10天、7天后破溃流液。抗炎治疗无效而就诊。检查:龟头左侧及背侧近冠状沟处有0.5×1 cm,1×1 cm 两处溃疡。基底部有白色脓苔后不易剥脱。阴茎体前半部肿胀,包皮浮及睾丸、附睾、精索未发现异常。胸透未发现异常。康瓦氏反应阴性。局部病理诊断为阴茎结核。应用抗痨药物,局部外用链霉素粉剂,病灶清除,4个月后溃疡愈合。口服异菸肼1年,随访10年无复发。
Penile tuberculosis is relatively rare, accounting for about 1% of genitourinary tuberculosis. China has reported 19 cases so far. Our diagnosis and treatment of two cases are reported as follows: Example 1, male, 20 years old. 3 months ago glans back found induration, the size of the soybean, 20 days glans found on the left induration, mung bean size, a little swelling in 10 days, 7 days after the collapse of fluid. Anti-inflammatory treatment is invalid and treatment. Check: glans left and dorsal coronal nearly 0.5 × 1 cm, 1 × 1 cm two ulcers. The base is not easy to peel after the white pus moss. Swollen anterior half of the penis, foreskin floating and testicular, epididymis, spermatic cord found no abnormalities. No abnormal chest X-ray findings. Kang Wah response negative. Local pathological diagnosis of penile tuberculosis. Application of anti-tuberculosis drugs, topical streptomycin powder, lesions cleared, 4 months after ulcer healing. Oral isoniazid 1 year, no follow-up of 10 years follow-up.