女性包块型盆腔结核24例临床分析

• 作 者: 苏莉
• 机 构: 首都医科大学附属北京妇产医院妇瘤科,
• 出 处: 中国妇幼保健
• 发表日期: 2013年09期
• 关键词: 女性盆腔结核 诊断 治疗

目的:探讨女性包块型盆腔结核的临床表现及其诊断方法。方法:回顾分析24例女性盆腔结核患者并伴有盆腔包块的临床资料。结果:患者平均年龄31.2岁,9例有结核病史或接触史,12例不孕或月经不调,14例患者有腹胀腹痛症状,8例有腹水。24例均经剖腹探查或腹腔镜检查明确诊断,其中10例术中输卵管切除,12例取活检,2例切除一侧附件,2例因术中肠壁损伤行肠修补术。术后所有患者转专科医院抗结核治疗,2例肠瘘患者保守治疗痊愈。结论:女性包块型盆腔结核有不孕或月经不调、腹胀腹痛、腹水等表现,术前诊断困难,剖腹探查或腹腔镜检查是明确诊断的重要手段,但手术有发生肠管损伤的风险。

Objective: To investigate the clinical manifestations and diagnosis of pelvic tuberculosis in women. Methods: A retrospective analysis of 24 cases of pelvic tuberculosis in women with pelvic mass clinical data. Results: The average age of patients was 31.2 years. Nine patients had a history of tuberculosis or contact history, 12 cases of infertility or irregular menstruation. 14 patients had abdominal distension symptoms and 8 patients had ascites. 24 cases were diagnosed by laparotomy or laparoscopy, including 10 cases of tubal resection, 12 cases of biopsy, 2 cases of excision of one side attachment, and 2 cases of intestinal repair due to intraoperative intestinal wall injury. All patients were transferred to specialist hospitals after anti-TB treatment, 2 cases of intestinal fistula conservative treatment cured. CONCLUSION: Women with pelvic tuberculosis have infertility or irregular menstruation, abdominal distension, ascites and other symptoms. Preoperative diagnosis is difficult. Laparotomy or laparoscopy is an important diagnostic method. However, there is a risk of bowel injury during operation.