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目的:探讨盆腔腹膜结核的临床特点和诊断方法。方法:分析l5例女性盆腔腹膜结核的误诊原因。结果:10例患者误诊为卵巢肿瘤,子宫内膜异位症3例,腹水待查2例,后经术后病理诊断为结核。结论:女性盆腔腹膜结核临床表现复杂多样,多伴有与卵巢癌、内膜异位症相似的盆腔包块、腹水及血清CA 125升高等,腹腔镜探查加病理检查是对可疑病例确诊的可靠方法。
Objective: To investigate the clinical features and diagnosis of pelvic peritoneal tuberculosis. Methods: To analyze the causes of misdiagnosis of pelvic peritoneal tuberculosis in 15 women. Results: 10 patients were misdiagnosed as ovarian tumors, endometriosis in 3 cases, ascites in 2 cases, postoperative pathological diagnosis of tuberculosis. Conclusions: The clinical manifestations of pelvic peritoneal tuberculosis in women are complex and diverse, with pelvic mass, ascites and serum CA 125 elevated in the same way as ovarian cancer and endometriosis. Laparoscopy and pathological examination are reliable for the diagnosis of suspicious cases method.