摘要
目的通过对误诊的女性盆腹腔结核的临床回顾分析,为盆腹腔结核的临床诊治提供参考。方法回顾性分析收治的误诊为卵巢癌的30例女性盆腹腔结核的病例资料。结果盆腹腔结核易发于育龄女性,多病程缓慢,缺乏典型临床症状,辅助检查的敏感性、特异性也欠佳,临床误诊误治率较高。结论提高对盆腹腔结核的认识,通过全面收集病史,重视结核相关检查,合理运用B超引导下穿刺、腹腔镜检查并对临床资料作综合分析,可减少对盆腹腔结核误诊误治。
Objective The study was conducted to analyze the clinical feature of misdiagnosed abdominopelvic tubeculosis of female to supplement and improve the diagnosis and treatment of abdominopelvic tubeculosis. Methods The clinical data of 30 patients of female abdominopelvic tuberculosis which were misdiagnosed as malignant tumor of ovary were concluded and analyzed in our study. Result Women in child-bearing period were liable to tubeculosis. The course of abdominopelvic tubeculosis usually moved slowly. Abdominopelvic tubeeulosis had less typical symptoms and was short of sensitive ＆ specific test. Therefore, misdiagnosis and mistreament of abdominopelvic tubeculosis are usually common. Conclusions We should pay more attention to abdominopelvic tubeculosis. Collect medical histories completely in detail. Think highly of tests correlated to tuberculosis （such as ADA,TB-Ab,TB-DNA）. Apply transabdominal Ultrasound-guided needle biopsy, laparoscopy, etc. , reasonablely. Then analyze all of the information. The probability of misdiagnosis and mistreament of pelvic tubeculosis would be decreased thereby,
出处
《西部医学》
2010年第4期692-694,共3页
Medical Journal of West China
关键词
盆腹腔结核
女性
误诊
Abdominopelvic tuberculosis
Female
Misdiagnosis
