首都医科大学学报 ›› 2006, Vol. 27 ›› Issue (4): 536-538.

• 临床研究 • 上一篇    下一篇

9例盆腔结核临床分析

周莲娥, 王香平   

  1. 首都医科大学宣武医院妇产科
  • 收稿日期:2005-05-19 修回日期:1900-01-01 出版日期:2006-08-24 发布日期:2006-08-24

Clinical Analysis of 9 Cases of Pelvic Tuberculosis

Zhou Lian'e, Wang Xiangping   

  1. Department of Obstetrics and Gynecology, Xuanwu Hospital, Capital University of Medical Sciences
  • Received:2005-05-19 Revised:1900-01-01 Online:2006-08-24 Published:2006-08-24

摘要: 目的 分析盆腔结核的症状、体征及辅助检查的特点,探讨提高其术前诊断率的方法.方法 回顾性分析10年间9例盆腔结核的诊断过程,并与同期收治的卵巢囊肿、上皮性卵巢癌患者进行比较.结果 盆腔结核患者多有盆腔以外的结核病史、结核接触史和不孕史;伴有腹水的盆腔结核易被误诊为上皮性卵巢癌;而单纯形成盆腔包裹性积液的盆腔结核易被误诊为卵巢囊肿.结论 提高盆腔结核的诊断率关键在于重视病史的询问对及盆腔和腹腔的检查,疑为盆腔结核时,应作必要的辅助检查,对诊断确有困难者应在抗结核治疗的同时行腹腔镜检查或剖腹探查.

关键词: 结核, 女性生殖器, 诊断

Abstract: Objective To analyze the signs,symptoms and characteristics of ancillary examinations and tests of pelvic tuberculosis and then to improve the accuracy of diagnosis.Methods The clinical data from 9 cases of pelvic tuberculosis during 10 years were analyzed retrospectively,and compared with the misdiagnosed cases in the same period.Results The patients with pelvic tuberculosis mostly have infertility and history of tuberculosis except pelvic tuberculosis or close contac with the patients with pulmonary tuberculosis.The pelvic tuberculosis with ascitic fluid were misdiagnosed as ovarian carcinoma and simple pelvic packed effusion was easily misdiagnosed as ovarian cyst.Conclusion The key to improve the accuracy of diagnosis of pelvic tuberculosis lied in investigation of patients' history and pelvic and abdominal examination as well.For susceptible cases,ancillary examinations and tests must be performed and then exploratory laparotomy and pelvic laparoscopy performed when necessary.

Key words: tuberculosis, female genital, diagnosis

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