9例盆腔结核临床分析.pdfVIP

2006 年 8 月 　　　　 首 都 医 科 大 学 学 报 　　　Aug . 2006 第 27 卷 　第 4 期 　　　 J o ur nal of Cap it al U niver sit y of Medical Science s Vol . 27 　No . 4 ·临床研究 · 9 例盆腔结核临床分析 周莲娥 　王香平 (首都医科大学宣武医院妇产科) 【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 【中图分类号】　R 527 . 4 Cl inical Analysis of 9 Cases of Pelvic Tuberculosis Zho u Liane , Wang Xiangping ( D ep a rtment of Obs tet rics an d Gy necology , X uanw u H osp i t al , Cap i t al Uni ve rs i ty of M e d ical S ciences) 【ABSTRACT】　Objective 　To analyze t he sign s , symp tom s and charact eri stics of ancillary examination s and t est s of p elvic t uberculo si s and t hen to imp rove t he accuracy of diagno si s. Methods 　The clinical dat a f rom 9 ca ses of p elvic t uberculo si s during 10 year s were analyzed ret ro sp ectively , and comp ared wit h t he mi sdiagno sed ca ses in t he same p erio d . Results 　The p atient s wit h p elvic t uberculo si s mo stly have infertilit y and hi story of t uberculo si s excep t p elvic t uberculo si s or clo se cont ac wit h t he p atient s wit h p ulmonary t uberculo si s. The p elvic t uberculo si s wit h a scitic fluid were mi sdiagno sed a s ovarian carcinoma and simp le p elvic p acked effu sion wa s ea sily mi sdiagno sed a s ovarian cy st . Conclusion 　The key to imp rove t he accuracy of diagno si s of p elvic t uberculo si s lied in investigation of p atient shi story and p elvic and abdominal examination a s well . For su scep tible ca ses , ancillary examination s and t est s