女性盆腔结核早期诊治的临床研究  

Diagnosis and treatment analysis of 65 cases of female pelvic tuberculosis

作　　者：刘宝瑛[1] 邓惠娟[1] 钟梅[2] 余艳红[2] 熊梦舟[2] 

机构地区：[1]广州市胸科医院妇产科,510015 [2]南方医科大学南方医院妇产科,510515

出　　处：《广州医药》2008年第2期34-36,共3页Guangzhou Medical Journal

基　　金：广东省科技厅项目资助(课题号:73108)

摘　　要：目的探讨女性盆腔结核的临床特点和旱期诊治方法，避免误诊。方法对2005年1月－2007年9月间收治的65例盆腔结核患者进行回顾性分析。结果盆腔结核高发病年龄为18－40岁，临床表现多样，无特异性，胸腹部X线及腹水涂片找结核杆菌率不高，B超，血沉，CA125，检查无特异性，故易误诊，54例依靠病理诊断（腹腔镜活检、诊刮、剖腹探查取病变组织送病理）。结论女性盆腔结核与卵巢肿瘤鉴别诊断极为困难，用多种辅助检查，综合分析，动态观察对比，可提高盆腔结核的正确诊断率，腹腔镜下取活检是值得提倡的好方法。Objective To investigate the clinical presentation and early diagnosic approach of the pelvic tuberculosis in females and avoid missing diagnosis firmed. Methods Sixty five patients who were confirmed having pelvic tuberculosis from Juanary 2005 to September 2007 were retrospectively studied. Results Most of cases are ill in 18-40 years old, present multi- pie clinical situation and have not specificity. We find thorax and abdomen X-rays check and ascitic fluid smear to search tuber-culosis is low positive rate. Other assisted examination such as ultrasound, erythrocyte sedimentation, CA-125 Detection also have not specificity and always cause misdiagnose. 56 cases are diagnosed by pathology （laparoscope biopsy, diagnostic curet-tage, exploratory laparotomy） . Conclusion We think multiple assisted examination and colligation analysis could increase correct diagnose rate and laparosope biopsy is effective method.

关 键 词：盆腔结核 卵巢肿瘤 CA125 腹水 细胞学 鉴别诊断 

分 类 号：R527.4[医药卫生—内科学] R446.11[医药卫生—临床医学]