论文部分内容阅读
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, causes of misdiagnosis and prevention and treatment of pelvic peritoneal tuberculosis in women. Methods The clinical features, diagnosis and treatment of 62 cases of pelvic peritoneal tuberculosis admitted to our hospital from January 2005 to June 2009 were analyzed retrospectively. Results Pelvic peritoneal tuberculosis occurred in women of childbearing age, the clinical manifestations of complex and diverse, mainly as abdominal pain, abdominal distension, irregular menstruation, infertility, pelvic mass, ascites and tuberculosis-related symptoms, CA125 value increased, easily misdiagnosed as ovarian cancer, Inflammation, old ectopic pregnancy and so on. Conclusion Pelvic peritoneal tuberculosis misdiagnosis rate is high, no specific examination, pelvic peritoneal tuberculosis should be raised awareness, a comprehensive analysis of history, symptoms and supporting information to improve the diagnostic accuracy. Surgery can be a clear diagnosis, advocating laparoscopy or laparotomy and standard anti-TB treatment.