■本研究旨在检查磁共振成像上精囊结核(SVT)的影像学表现,以加深对这种疾病的了解。
■临床症状,一般条件,通过细菌学检查收集13例诊断为SVT的患者的相关实验室检查和放射学数据。使用描述性分析来探索收集的数据的组成比和速率值。
■13例(100.0%)受累精囊T1WI等信号和T2WI低信号,随着正常精囊T2WI上多腔高信号的消失。8例(61.5%)受累精囊DWI表现为弥散受限,造影扫描明显强化,而5例(38.5%)的对比扫描显示无限制扩散和轻度增强。显着增强的患者比轻度增强的患者表现出更高的计数和中性粒细胞百分比,差异有统计学意义(Z=2.196,P=0.030;Z=2.781,P=0.003)。淋巴细胞的数量和百分比,显著增强的患者CD3+T细胞和CD4+T细胞明显低于轻度增强的患者,差异有统计学意义(Z=-2.196,P=0.030;Z=-2.928,P=0.002;Z=-2.928,P=0.002;Z=-2.928,P=0.002)。显着增强的患者比轻度增强的患者更容易患有活动性肺结核,差异有统计学意义(P=0.035)。
■磁共振成像揭示了室上性心动过速的独特影像学特征,影像学表现的变化可以表明患者的免疫状态。
UNASSIGNED: This study aimed to examine the radiographic manifestations of seminal vesicle tuberculosis (SVT) on magnetic resonance imaging to gain a deeper understanding of this disease.
UNASSIGNED: The clinical symptoms, general conditions, relevant laboratory tests and radiological data of 13 patients diagnosed with SVT were collected through bacteriological examination. A descriptive analysis was used to explore the composition ratio and rate values of the collected data.
UNASSIGNED: All 13 cases (100.0%) showed isointense signals on T1WI and hypointense signals on T2WI in the affected seminal vesicles, with the disappearance of the multi-chambered high signal on T2WI in normal seminal vesicles. Eight cases (61.5%) showed diffusion restriction on DWI of the affected seminal vesicle and significant enhancement on the contrast scan, whereas five cases (38.5%) showed unrestricted diffusion and mild enhancement on the contrast scan. Patients with significant enhancements exhibited higher counts and neutrophil percentages than patients with mild enhancements, with statistically significant differences (Z = 2.196, P = 0.030; Z = 2.781, P = 0.003, respectively). The counts and percentage of lymphocytes, CD3+T cells and CD4+T cells were significantly lower in patients with significant enhancements than in those with mild enhancements, with statistically significant differences (Z = -2.196, P = 0.030; Z = -2.928, P = 0.002; Z = -2.928, P = 0.002; Z = -2.928, P = 0.002, respectively). Patients with significant enhancements were more likely to have active pulmonary tuberculosis than those with mild enhancements, with a statistically significant difference (P = 0.035).
UNASSIGNED: Magnetic resonance imaging reveals distinct radiographic features of SVT, and variations in imaging presentations can indicate a patient\'s immune status.