腹腔镜诊断女性生殖器结核972例临床分析

Clinical analysis on laparoscopic diagnosis of 972 cases of female genital tuberculosis

目的探讨腹腔镜在女性生殖器结核（female genital tuberculosis，FGT）诊断中的价值。方法对我院1985年～2006年间经腹腔镜诊断为FGT患者的临床资料进行回顾性分析。结果①6284例行腹腔镜检查女性患者中，诊断生殖器结核972例，检出率为15．47％；其中原发不孕组3409例，诊断FGT695例（20．39％），继发不孕组1131例，诊断FGT115例（10．17％）。②1985年～1995年间FGT检出率为21．75％，1996年-2006年间FGT检出率为6．13％，前11年与后11年相比，差异有显著性（P〈0．01）。③FGT误诊率为63．48％。结论腹腔镜检查可提高FGT诊断率，是FGT较理想的诊断手段。

Objective To evaluate laparoscopy in diagnosis of female genital tuberculosis （FGT）. Methods The clinical records of FGT diagnosed by laparoscopy in our department from 1985 to 2006 were reviewed and ana- lyzed retrospectively. Results （1）In patients undergoing laparoscopy, 972 out of 6 284 （15. 470/00） were diagnosed with FGT. Among them, 695 out of 3 409 （20.39%） case of primary infertility were with FGT; and 155/1 131 （10.17%） in secondary infertility. （2）The morbidity rate of FGT during 1985-1995 was significantly different from the period of 1996-2006 （21.75% vs. 6.13%, P〈0.01）. （3）The misdiagnosis rate of FGT was as high as 63.48%. Conclusion The laparoscopy is valuable in diagnosis of FGT and can enhance accuracy of FGT diagnosis, which is regarded as the most direct and feasible approach in diagnosis of FGT.