生殖器结核66例临床诊治分析

The Analysis of Diagnosis and Treatment of Genital Tuberculosis 66 Cases

目的对生殖器结核的临床诊治进行分析总结,提高诊断的准确性和指导治疗。方法益阳市人民医院诊治的66例生殖器结核患者分为实验组和对照组,两组都给予抗结核治疗,同时实验组加用微卡,分析患者的资料和治疗结果。结果生殖器结核的初步诊断准确率为21.21%,辅助检查能显著提高诊断的准确性,实验组治疗有效率高于对照组(P<0.05)。结论生殖器结核因病史不明确、症状及辅助检查特异性不明显,从而导致误诊率高。在临床工作中,应对病史、临床表现以及辅助检查综合考虑、全面分析,尽量降低临床误诊率;在抗结核治疗中,为了提高疗效,微卡值得临床应用。

Objective The clinical diagnosis of genital tuberculosis were analyzed and summarized,to improve diagnostic accuracy and guide treatment.Methods From 66 cases of genital tuberculosis diagnosis and treatment of the patients were divided into experimental and control group,two group were given anti-TB treatment,while the experimental group was added micro cards,analysis of the patient data and treatment outcomes.Results The initial diagnosis of genital tuberculosis accuracy was 21.21%,additional tests can significantly improve the diagnostic accuracy,treatment efficiency higher than the experimental group（P0.05）.Conclusion Due to a history of genital tuberculosis is not clear,specific symptoms and laboratory examinations was not obvious,leading to misdiagnosis rate.In clinical work,deal with history,clinical manifestations and laboratory examinations into account,a comprehensive analysis,try to reduce the clinical misdiagnosis rate;in the anti-TB treatment in order to improve efficacy,micro-card worthy of clinical application.