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目的 探讨女性生殖器结核的临床特点、诊断依据及误诊原因。方法综合分析42例生殖器结核患者的病史、临 床表现和诊治过程。结果初诊为盆腔腹膜结核12例,正确诊断率为28.6%;误诊为卵巢囊肿19例、慢性盆腔炎7例、 其他 4例,误诊率为71.4%。确诊后治疗效果满意。结论生殖器结核临床表现很不一致,与结核病有关的病史易被忽 视,误诊率高。临床上通过详细询问病史,行必要的辅助检查和特殊检查,可以提高诊断率。
Objective To investigate the clinical features, diagnosis and misdiagnosis of female genital tuberculosis. Methods A total of 42 cases of genital tuberculosis patients history, clinical manifestations and diagnosis and treatment process. Results The initial diagnosis of pelvic peritoneal tuberculosis in 12 cases, the correct diagnosis rate was 28.6%; misdiagnosed as ovarian cyst in 19 cases, 7 cases of chronic pelvic inflammatory disease, the other 4 cases, the misdiagnosis rate was 71.4%. After the diagnosis of satisfactory treatment. Conclusion The clinical manifestations of genital tuberculosis are very inconsistent, with the history of tuberculosis is easily overlooked, misdiagnosis rate is high. Clinically through detailed history of inquiry, the line of necessary auxiliary examination and special examination, can improve the diagnostic rate.