摘要
疑有女性生殖道结核,主要依据组织学及细菌学检查确诊。对女性生殖道结核子宫输卵管造影有它特征性表现可作为一种诊断方法。结核的诊断根据是:(1)输卵管外形僵硬变直远端局部扩张呈囊状;(2)输卵管不规则,毛糙,有瘘管、龛影、内腔有充盈缺损;(3)子宫腔变小,外形毛糙不规则或瘘管形成;(4)卵巢、输卵管或盆腔有钙化。本文对生殖道结核和不孕症的关系也进行了讨论。
Diagnosis of genital tuberculosis mainly depends on pathologic and bacteriologic study of tissues or secretions. But hysterosalpingograms is used asa diagnostic means in genital tuberculosis in women, which shows its characteristic manifestations. The dependable diagnostic features of tuberculosis are: (1) A rigid fallopian tube with straight contours and cystic dilation of its distal portion (2) Tube is irregular, shaggy and fistulous, filling defects; (3) The outline of the uterine cavity is sharp and irregular or fistulous and the cavity becomes smaller; (4) Calcification of Fallopian tube and ovary. The relations between genital tuberculosis and sterility are discussed as well.
关键词
子宫
输卵管
造影诊断
生殖道结核
hysterosalpingography
genital tubercnlosis
sterility