摘要
目的:了解女性盆腔结核的临床特征、早期诊断、误诊原因及防治措施,为盆腔结核的医学诊治提供现实依据。方法 :回顾性分析2011年3月～2012年3月许昌市妇幼保健院确诊收治的50例女性盆腔结核患者的临床特征、诊断和治疗结果。结果:50例确诊为盆腔结核患者,腹部胀痛45例(90.00%),腹部包块37例(74.00%),月经量变化30例(64.00%),不孕41例(82.00%),发热、盗汗19例(38.00%)。手术前误诊43例,误诊率为86.00%,其中最易被误诊为卵巢肿瘤32例,占64.00%。结论:盆腔结核误诊率较高,应提高对该疾病的认识,加强鉴别诊断的能力,及时发现误诊、漏诊。
Objective： To understand the clinical characteristics, early diagnosis, causes of misdiagnosis, and preventive and ther- apeutic measures of female patients with pelvic tuberculosis, and provide a realistic basis for medical diagnosis and treatment of pelvic tuber- culosis. Methods： The clinical characteristics, diagnosis, and treatment of 50 female patients with pelvic tuberculosis who were diagnosed definitely and treated in Xuchang Maternal and Child Health Hospital from March 2011 to March 2012 were analyzed retrospectively. Re- suits： Among 50 patients with pelvic tuberculosis, 45 patients were found with abdominal swelling pain （90.00%）, 37 patients were found with abdominal masses （74. 00% ）, 30 patients were found with change of menstrual blood volume （64. 00% ）, 41 patients were diagnosed as infertility （82. 00% ）, 19 patients were found with fever and night sweat （ 38.00% ） . Forty - three patients were misdiagnosed before surgery, the rate of misdiagnosis was 86. 00%, 32 patients were misdiagnosed as ovarian tumor, accounting for 64. 00%. Conclusion： The misdiagnostic rate of pelvic tuberculosis is relatively high, cognition about the disease should be improved, and the ability of differential diag- nosis should be enhanced to find misdiagnosis and missed diagnosis timely.
出处
《中国妇幼保健》
CAS
北大核心
2013年第6期937-939,共3页
Maternal and Child Health Care of China
关键词
盆腔结核
临床表现
误诊
Pelvic tuberculosis
Clinical manifestation
Misdiagnosis
