205例女性生殖器结核临床分析

Clinical analysis on 205 women with female genital tuberculosis

目的:探讨女性生殖器结核的临床特点。方法:回顾性分析我院205例女性患者生殖器结核的临床资料。结果:205例患者中,育龄期占83.9%。主要症状为不孕(55.1%)、腹胀(35.6%)、腹痛(32.2%)、月经失调(22.9%)。体征以盆腔包块(52.7%)多见。胸片、血清抗结核抗体等阴性检查结果不能用于排除诊断。入院诊断漏、误诊率为84.4%,正确率仅为15.6%。结论:生殖器结核患者临床表现复杂多样,漏、误诊率高。正规抗结核药物治疗可明显改善除不孕外的其他症状。

Objective ： To explore the clinical characteristics of female genital tuberculosis. Methods ： Clinical data of 205 women with female genital tuberculosis were analyzed retrospectively. Results ： 83.9% of the women were in child - bearing period. Primary symptoms were ： infertility （ 55.1% ） , abdominal distension （ 35.6% ） , abdominal pain （ 32. 2% ） and menstrual disorder （ 22. 9% ） . Pelvic mass was the most common sign. Negative results were not diagnostic exclusion criteria, such as thoracic X - ray and serum anti - tuberculo- sis antibody. The misdiagnosis and missed diagnosis rate was 84. 4%, and the correct diagnosis rate was 15.6%. Conclusion： The misdiagnosis and missed diagnosis rate of female genital tuberculosis is high because of complicated clinical manifestations. Regular anti - tuberculosis medicine therapy can improve clinical symptoms except for infertility.