女性生殖器结核23例临床特点及误诊分析

Clinical characteristics and misdiagnosis of female genital tuberculosis:an analysis of 23 cases

目的探讨女性生殖器结核(FGT)临床特点及误诊原因。方法选择2011~2019年皖南医学院第一附属医院收治的23例FGT患者,回顾性分析其病史、临床表现及诊治经过,总结误诊原因。结果入院初步诊断FGT 4例,诊断准确率17.39%;6例剖腹探查病理确诊,13例腹腔镜探查病理确诊,2例经诊断性刮宫病理确诊,2例经抗结核治疗有效确诊。结论FGT临床表现多样,需综合分析病史、症状和体征及辅助检查结果,特别是腹腔镜探查术,有助于诊断,提高诊断准确率。

Objective To investigate the clinical characteristics and misdiagnostic causes of female genital tuberculosis(FGT).Methods Twenty-three FGT patients admitted to The First Affiliated Hospital of Wannan Medical College from 2011 to 2019 were selected for retrospectively analyzing their medical history,clinical manifestations,diagnosis and treatment history,and the causes of misdiagnosis were summarized.Results Four cases were initially diagnosed with FGT when patients were admitted to hospital,and the diagnostic accuracy was 17.39%.Six cases were confirmed pathologically by laparotomy,13 cases were confirmed pathologically by laparoscopy,2 cases were confirmed pathologically by diagnostic curettage,and 2 cases were confirmed by effective anti-tuberculosis treatment.Conclusion The clinical manifestations of FGT are diverse,and the comprehensive analysis of patient's history of disease,symptoms and signs and the auxiliary examination results,especially laparoscopic exploration,is helpful for diagnosis and improving the diagnostic accuracy.