盆腔结核诊断的研究进展  

Research Progress in the Diagnosis of Pelvic Tuberculosis

作　　者：王换换 王玉贤(审校)[2] WANG Huan-huan;WANG Yu-xian(Shanxi Medical University,Taiyuan 030000,China;Department of Obstetrics,The First Hospital of Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学,太原030000 [2]山西医科大学附属第一医院产科

出　　处：《国际妇产科学杂志》2023年第4期456-460,共5页Journal of International Obstetrics and Gynecology

摘　　要：盆腔结核是由结核分枝杆菌引起的女性生殖系统炎性疾病,是导致育龄期女性不孕的重要原因之一,近年发病率显著升高。该病发病隐匿,缺乏典型的症状体征,常用的医技检查对该病的特异度和敏感度较低,目前尚无可用于诊断的单一标准,常规诊断主要依靠术中及术后病理结果,临床诊断较为困难,容易出现漏诊、误诊而延误治疗。医学技术的进步及临床医师对盆腔结核认识的提高为其早期诊断提供了可能,但临床仍需探索更便捷快速的诊断方法。目前,盆腔结核的诊断方法包括血清学检查、影像学检查、内窥镜检查、细菌学检查、免疫学检查、分子生物学检查等,上述方法各有利弊,盆腔结核的诊断方法仍是目前的研究重点。综述上述诊断方法及最新研究进展,分析对比不同诊断方式的优点与不足,对现有诊断方法做一简要述评并总结其诊断流程,为临床诊断思维的建立提供参考。Pelvic tuberculosis is an inflammatory disease of the female reproductive system caused by Mycobacterium tuberculosis and is one of the important causes of infertility in women of childbearing age.The incidence rate of pelvic tuberculosis has increased significantly in recent years.The onset of this disease is hidden,and there is a lack of typical symptoms and signs.The commonly used medical tests have a low specificity and sensitivity for this disease.At present,there is no single standard that can be used for diagnosis.The conventional diagnosis mainly depends on the pathological results during and after operation,so the clinical diagnosis is difficult,and it is prone to missed diagnosis and misdiagnosis,resulting in delay in treatment.Advances in medical technology and improved awareness of pelvic tuberculosis among clinicians have made early diagnosis possible,but more convenient and rapid diagnostic methods still need to be explored.At present,the diagnostic methods of pelvic tuberculosis include serological examination,imaging examination,endoscopy,bacteriological examination,immunological examination,molecular biology examination,etc.The above methods have their own advantages and disadvantages,and the diagnostic methods of pelvic tuberculosis are still the focus of current research.Therefore,in order to provide reference for the establishment of clinical diagnostic thinking,we reviewed the above diagnostic methods and the latest research progress,analyzed and compared the advantages and disadvantages of different diagnostic methods,made a brief review of the existing diagnostic methods and summarized their diagnostic processes.

关 键 词：结核 女性生殖器 结核分枝杆菌 诊断 生育力 盆腔结核 

分 类 号：R527[医药卫生—内科学]