女性盆腔腹膜结核12例诊治分析

Diagnosis and treatment analysis of 12 cases of female pelvic peritoneal tuberculosis

目的 探讨女性盆腔腹膜结核的临床特点和诊治依据,避免误诊。方法 回顾分析12例女性盆腔腹膜结核患者的病史、临床表现及诊治经过。结果 入院初诊盆腔腹膜结核3例,诊断准确率25％。3例剖腹探查病理确诊,2例盆腔包块穿刺活检病理确诊,7例诊断性抗结核治疗确诊。确诊后治疗效果满意。结论 女性盆腔腹膜结核临床表现多样,需综合分析病史、症状、辅助检查,提高诊断准确率。本病可伴有血清CA125升高,抗结核抗体的诊断价值有待进一步研究。

Objective To invesligate the clinical presentation and diagnostic approach of the pelvic-peritoneal tuberculosis in females and avoid missing diagnosis. Methods A retrospective review of 12 cases with a discharge diagnosis of pelvic-peritoneal tuberculosis was performed. Results 3 cases were diagnosed as pelvic-peritoneal tuberculosis when admitted to hospital. The accuracy was 25%. 3 cases were diagnosed by the pathologic results from laparotomy. 2 diagnoses were obtained from pelvic mass biopsy by puncture,the remained 7 cases were diagnosed by the trial of anti-tuberculosis treatment. All the cases got satisfactory therapeutic effects. Conclusion The medical history, physical examination and accessory examination will improve the diagnostic accuracy. Serum CA125 may be notably elevated. The diagnostic value of the anti-tuberculosis antibody needs further research.