52例女性生殖器结核的临床分析

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1、52例女性生殖器结核的临床分析52例女性生殖器结核的临床分析【中图分类号】R575【文献标识码】A【文章编号】1672-3783(2011)11-0045-01【摘要】目的:探讨女性生殖器结核(FGTB)的临床特点和诊治依据，减少误诊以提高诊治水平。方法？对2001年1月至2011年6月我院收治的52例女性生殖器结核患者的病史、临床表现和诊治经过做冋顾性分析。结果？(1)生殖器结核以农民多见。初步诊断生殖器结核16例，准确率为30.7%(16/52)o52例病例中以不孕症、月经失调、盆腔包块为主诉而就诊者最多，共占95%；(2)34例剖腹探查病理分析确诊，10例诊断性刮

2、宫及宫腔镜检查活检确诊，8例诊断性抗结核治疗有效确诊，确诊后治疗效果满意。结论？女性生殖器结核临床表现多样，以不孕、月经失调、盆腔包块等多见，无特异性。需提高对盆腔结核的认识，综合分析病史、症状及相关辅助检查。对于诊断不明者可行腹腔镜或剖腹探查术，尽快明确诊断，提高诊断率。【关键词】女性生殖器结核；临床分析；诊断ClinicalAnalysisof52FemaleGenitalTuberculosisWuHua-Ying,ChenEn,ChenJin-Lan[Abstract]Objective：ToExploretheclinicalcharacteristicsan

3、ddiagnosisoffemalegenitaltubercunitalosis,reducingmisdiagnosisbasistoimprovethelevelofdiagnosisandtreatment・MethodsTothemedicalhistory,clinicalmanifeststionandmakingadiagnosisandgivingtreatmentthroughmakingreviewinganalysisof52femalesexorganstuberculosispatientthattheouracademyacceptedfo

4、rmedicaltreatmentfromJanuaryof2001toJuneof2011.Results?(1)Genitalstuberculosisisseenmorewithpeasants・Diagnose16casesoftuberculosisgenitalstentatively,therateofaccuracyis30.7%(16/52)・Wrapuponein52casesformainsuitwithinfertility,menoxenia,pelvisbutclientsaremost,accountsfor95%altogether;(2

5、)34cutopenbellyascertainpathologyanalyze,makea.definitediagnosisof,10personwhodiagnosedilatationandcurettageandpalaceofmirrorchecklivingtoexaminemakingadefinitediagnosisof,8diagnosingsresistthetuberculosistreatmenttomakeadefinitediagnosisofeffectively,thetherapeuticeffectissatisfiedafter

6、makingadefinitediagnosisof.ConclusionFemalegenitaltuberculosisisvariousinclinicalmanifestation,wrapuplumpsetc・toseemorewithinfertile,menoxenia,pelvis,thereisnospecificity・Needtoimprovetheunderstandingofpelvistuberculosis,comprehensiveanalysismedicalhistory,thesymptomandrelevantauxiliarye

7、xamination.Fordiagnosingthefeasibleperitoneoscopeoftheunidentifiedoneorcuttingopenthebellyandascertainingtheskill,diagnoseclearlyassoonaspossible,improvethediagnosingrate・[Keywords】Femalegenitaltuberculosis(FGTB);Clinicalanalysis;diagnosis近年来，由于流动人rT量增长，吸毒者增多，艾滋病毒感染及耐药结核(