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目的:探讨女性盆腹腔结核容易误诊的原因,提高确诊率。方法:对2008-01/2008-10共收治女性盆腹腔结核17例患者的临床表现、体征、辅助检查及诊治进行分析。结果:误诊13例(误诊率76.5%),诊断为卵巢肿瘤7例,卵巢癌可能2例,卵巢囊肿蒂扭转1例,慢性宫颈炎宫颈癌可能1例,腹水原因待诊1例,子宫内膜癌可能1例。结论:女性生殖器官结核临床表现复杂多变,容易误诊,需综合分析病史、症状、体征及辅助检查,必要时腹腔镜探查或剖腹探查。一旦诊断明确,首选化学药物抗结核治疗。
Objective: To investigate the causes of misdiagnosis of female pelvic peritoneal tuberculosis and improve the diagnosis rate. Methods: The clinical manifestations, signs, auxiliary examinations and diagnosis and treatment of 17 cases of female pelvic peritoneal tuberculosis admitted from January 2008 to October 2008 were analyzed. Results: 13 cases were misdiagnosed (misdiagnosis rate was 76.5%), 7 cases were diagnosed as ovarian neoplasms, 2 cases ovarian cancer, 1 case ovarian cyst torsion, 1 case cervical uterine cervix cancer, 1 case of ascites reason, 1 case uterus Membrane cancer may be one case. CONCLUSION: The clinical manifestations of female genital tuberculosis are complex and changeable, and are easily misdiagnosed. Comprehensive analysis of medical history, symptoms, signs and auxiliary examinations, laparoscopy or laparotomy if necessary. Once the diagnosis is clear, the preferred chemical anti-TB treatment.