盆腔腹膜结核62例  

Pelvic peritoneal tuberculosis clinical analysis of 62 cases

作　　者：高淑丽 

机构地区：[1]云南省大理州人民医院妇科,大理671000

出　　处：《临床医学》2010年第1期39-40,共2页Clinical Medicine

摘　　要：目的探讨女性盆腔腹膜结核的临床特征、误诊原因及防治措施。方法回顾性分析2005年1月至2009年6月我院收治确诊的62例盆腔腹膜结核患者的临床特征、诊断和治疗结果。结果盆腔腹膜结核多发于育龄妇女,临床表现复杂多样,主要表现为腹痛、腹胀,月经不调、不孕、盆腔包块、腹水及结核相关症状、CA125值升高,易误诊为卵巢肿瘤、盆腔炎、陈旧性宫外孕等。结论盆腔腹膜结核误诊率高,检查无特异性,应提高对盆腔腹膜结核的认识,综合分析病史、症状及辅助资料,提高诊断正确率。手术可明确诊断,主张行腹腔镜检查术或剖腹探查术及规范抗结核治疗。Objective To investigate the clinical features of female pelvic peritoneal tuberculosis,misdiagnosis of the causes and control measures.Methods Retrospective analysis from January 2005 to June 2009 admitted to our hospital diagnosed 62 cases of pelvic peritoneal tuberculosis in patients with clinical features,diagnosis and treatment outcomes.Results The pelvic tuberculosis,mainly in the women of childbearing age,complex and diverse clinical manifestations,mainly manifested as abdominal pain,abdominal distention,irregular menstruation,infertility,pelvic mass,ascites,and TB-related symptoms,CA125 elevated.Often misdiagnosed as ovarian tumors,pelvic inflammatory disease,ectopic pregnancy and so old.Conclusion The high rate of pelvic peritoneal tuberculosis misdiagnosed,check non-specific,and should increase awareness of pelvic peritoneal tuberculosis,a comprehensive analysis of medical history,symptoms and supporting information to improve the diagnostic accuracy rate,surgery may be a clear diagnosis,surgery or laparoscopy advocates OK laparotomy and standard anti-TB treatment.

关 键 词：女性盆腹腔 结核 误诊 治疗 

分 类 号：R526[医药卫生—内科学]